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[1]高煬,吳奕江,章何陋,等.斜外側(cè)腰椎間融合術(shù)并發(fā)癥的研究進(jìn)展[J].中醫(yī)正骨,2020,32(11):29-32.
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斜外側(cè)腰椎間融合術(shù)并發(fā)癥的研究進(jìn)展()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年11期
頁碼:
29-32
欄目:
綜 述
出版日期:
2020-11-20

文章信息/Info

作者:
高煬1; 吳奕江1; 章何陋1; 全仁夫2
(1.浙江中醫(yī)藥大學(xué)第三臨床醫(yī)學(xué)院,浙江 杭州 310053; 2.杭州市蕭山區(qū)中醫(yī)院,浙江 杭州 311201)
關(guān)鍵詞:
脊柱融合術(shù);  手術(shù)中并發(fā)癥;  手術(shù)后并發(fā)癥;  綜述
摘要:
斜外側(cè)腰椎間融合術(shù)(oblique lateral interbody fusion,OLIF)是目前治療腰椎退行性疾病的常用術(shù)式,具有損傷小、出血少等優(yōu)點。臨床上采用OLIF治療各類腰椎疾病時存在一些與入路和操作相關(guān)的并發(fā)癥。術(shù)中并發(fā)癥包括血管損傷、神經(jīng)損傷、椎體終板損傷、腹膜損傷及輸尿管損傷等,術(shù)后并發(fā)癥包括融合器沉降與移位、大腿麻木疼痛與腰髖屈曲無力及其他并發(fā)癥。為了降低OLIF并發(fā)癥的發(fā)生率,臨床醫(yī)師應(yīng)熟悉腹部局部解剖結(jié)構(gòu)、完善術(shù)前血管神經(jīng)評估、術(shù)中減少腰大肌的牽拉并選擇合適的融合器,并在必要時聯(lián)合后路椎弓根螺釘固定。本文對OLIF術(shù)中和術(shù)后常見并發(fā)癥的研究進(jìn)展進(jìn)行了綜述。

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備注/Memo

備注/Memo:
通訊作者:全仁夫 E-mail:[email protected]
更新日期/Last Update: 2020-11-20