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显微腰椎间盘切除术临床技术指南

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显微腰椎间盘切除术的手术疗效确切,相对传统手术具有较小的创伤,已经成为国际上腰椎间盘突出症手术治疗的重要手段.目前,显微腰椎间盘切除术并未在我国广泛开展,同时还存在诸多争议和有待规范的问题.为促进显微腰椎间盘切除术的规范开展,针对显微镜准备、显微腰椎间盘切除术的适应证和禁忌证、显微腰椎间盘切除术的技术流程、显微腰椎间盘切除术的围手术期并发症处理等相关问题,参考近年来国内外显微腰椎间盘切除术临床应用的最新进展,遵循循证医学原则,征询建议并反复讨论后制定了本指南,旨在为显微腰椎间盘切除术的临床应用提供可靠依据,避免不恰当、不规范的诊疗行为,从而提高其临床应用价值.
Clinical technique guideline for lumbar microdiscectomy
Lumbar microdiscectomy has become an important method for surgical treatment of lumbar disc hemiation in the world,because of its stable and exact clinical outcomes,and less trauma compared with conventional surgery.Currently,lumbar microdiscectomy has not been widely practiced in China,and there are several controversial issues and problems to be standardized.These problems mainly include the preparation of microscope,surgical indications and contraindications,surgical procedures,and the management of perioperative complications.By referring to the latest progress in the clinical application of lumbar microdiscectomy at home and abroad in recent years and consulting experts'opinions and suggestions repeatedly,we have formulated this clinical technical guideline for lumbar microdiscectomy following the principles of evidence-based medicine.This technical guideline aims to unify and standardize the above issues to provide a reliable basis for the clinical application of lumbar microdiscectomy,preventing inappropriate and non-standard diagnosis and treatment behaviors,and thus improving its clinical application.

Lumbar Disc HemiationLumbar MicrodiscectomyTechnical Guideline

中国医师协会骨科医师分会脊柱微创专业委员会显微镜学组、周跃

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腰椎间盘突出症 显微腰椎间盘切除术 技术指南

2024

中华骨与关节外科杂志
中国医学科学院 中国协和医学院

中华骨与关节外科杂志

CSTPCD北大核心
影响因子:0.906
ISSN:2095-9958
年,卷(期):2024.17(1)
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