加速康复外科理念下经皮椎体成形术/经皮椎体后凸成形术麻醉方式的现状与未来
The current status and future of anesthesia methods for percutaneous vertebroplasty/percutaneous kyphoplasty under the concept of enhanced recovery after surgery
李玉红 1李佳 1邓胜利1
作者信息
- 1. 遵义医科大学附属医院麻醉科,遵义 563000
- 折叠
摘要
经皮椎体成形术(PVP)/经皮椎体后凸成形术(PKP)是现外科治疗椎体压缩性骨折常用的微创手术.然由于患者多为高龄,各系统并发症多,以及手术需俯卧体位等原因,导致麻醉管理难度较大、麻醉方式选择困难.已有文献显示全身麻醉(GA)、局部浸润麻醉(LIA)、椎管内麻醉、竖脊肌阻滞(ESPB)等均可用于PVP/PKP.文章基于加速康复外科(ERAS)理念,就PVP/PKP麻醉方式的现状及优缺点进行综述,以期为选择PVP/PKP最适宜的麻醉方式提供参考,旨在从麻醉角度为此类患者在临床上的快速康复提供支持.
Abstract
Percutaneous vertebroplasty(PVP)/percutaneous kyphoplasty(PKP)are commonly used minimally invasive surgical procedures for the treatment of vertebral compression fractures.However,due to the elderly patients,many complications of various sys-tems,and the need for prone position for surgery,it is difficult to manage anesthesia and choose anesthesia methods.Literature has shown that general anesthesia(GA),local infiltration anesthesia(LIA),spinal anesthesia,erector spinae plane block(ESPB),etc.can be used for PVP/PKP.This article reviews the current status,advantages and disadvantages of anesthesia methods of PVP/PKP based on the concept of enhanced recovery after surgery(ERAS),in order to provide a reference for selecting the most appropriate anesthesia method of PVP/PKP,and to provide support for rapid recovery of such patients from the perspective of anesthesia.
关键词
麻醉/经皮椎体成形术/经皮椎体后凸成形术/加速康复外科Key words
Anesthesia/Percutaneous vertebroplasty/Percutaneous kyphoplasty/Enhanced recovery after surgery引用本文复制引用
出版年
2024
NETL
NSTL
万方数据