腰椎融合术后肠功能障碍的治疗进展

Advances in the Treatment of Intestinal Dysfunction after Lumbar Fusion Surgery

腰椎椎体间融合术是常用的一种治疗腰椎间盘突出、腰椎椎管狭窄等疾病的手术。该术式在临床上应用广泛,但术后大多数患者都会出现不同程度的肠道功能障碍,尤其在腰椎后路融合术更常见,如:术后腹胀、便秘等症状,目前关于该并发症尚未有一种最佳的治疗方式。故本文对腰椎融合术后肠道功能障碍的治疗进展进行综述,并进一步研究以优化治疗,避免高死亡率并发症的发生。Lumbar interbody fusion is a commonly used procedure to treat lumbar disc herniation, lumbar spinal stenosis and other diseases. This procedure is widely used in clinic, but most patients will have different degrees of intestinal dysfunction after surgery, especially more common in lumbar posterior fusion, such as: postoperative abdominal distension, constipation and other symptoms, and there is not yet an optimal treatment regarding this complication. Therefore, this paper reviews the progress of treatment of intestinal dysfunction after lumbar spine fusion, and further studies are conducted to optimize the treatment and avoid the occurrence of high mortality complications.