随着人口老龄化速度越来越快,骨质疏松合并退变性脊柱侧凸越来越成为老年人的一种常见疾病,对于此类疾病,保守治疗和手术治疗效果不尽相同。但是由于患者往往年龄偏大,因此在选择治疗方案时要格外慎重,同时围手术期的管理也尤为重要。...随着人口老龄化速度越来越快,骨质疏松合并退变性脊柱侧凸越来越成为老年人的一种常见疾病,对于此类疾病,保守治疗和手术治疗效果不尽相同。但是由于患者往往年龄偏大,因此在选择治疗方案时要格外慎重,同时围手术期的管理也尤为重要。但需要明确的是,不管是行保守治疗或是手术治疗,患者都应进行严格的抗骨质疏松治疗。With the aging of the population, osteoporosis combined with degenerative scoliosis has become a common disease in the elderly, and the effect of conservative treatment and surgical treatment for this disease is not the same. However, because patients tend to be older, careful treatment should be chosen, and perioperative management is particularly important. However, it should be made clear that patients should be treated with strict anti-osteoporosis therapy, regardless of whether they are treated conservatively or surgically.展开更多
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...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.展开更多
文摘随着人口老龄化速度越来越快,骨质疏松合并退变性脊柱侧凸越来越成为老年人的一种常见疾病,对于此类疾病,保守治疗和手术治疗效果不尽相同。但是由于患者往往年龄偏大,因此在选择治疗方案时要格外慎重,同时围手术期的管理也尤为重要。但需要明确的是,不管是行保守治疗或是手术治疗,患者都应进行严格的抗骨质疏松治疗。With the aging of the population, osteoporosis combined with degenerative scoliosis has become a common disease in the elderly, and the effect of conservative treatment and surgical treatment for this disease is not the same. However, because patients tend to be older, careful treatment should be chosen, and perioperative management is particularly important. However, it should be made clear that patients should be treated with strict anti-osteoporosis therapy, regardless of whether they are treated conservatively or surgically.
文摘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.
