| 峡部裂性腰椎滑脱症的手术治疗进展 |
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投稿时间：2018-07-10
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| 期刊信息：《中国骨伤》2019年，第32卷，第3期，第283-287页 |
| DOI：10.3969/j.issn.1003-0034.2019.03.017 |
| 基金项目: |
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| 中文摘要:峡部裂性腰椎滑脱症是一种常见的脊柱退行性疾病，严重影响人们的生活质量。目前腰椎滑脱的手术治疗指征已基本形成共识，针对该病的手术方案主要是峡部修补、椎管减压、滑脱复位、脊柱融合，治疗原则主要是缓解神经压迫、恢复脊柱稳定，但对于各环节实施的具体方式及程度仍存在较大争议。开放手术能够对严重峡部裂腰椎滑脱进行彻底的减压、复位、融合，重建脊柱的稳定性，但手术创伤过大，而微创手术则可以减少对椎旁软组织的损伤，同时减少术中失血量，缩短术后住院及康复时间，降低术中、术后相关并发症的发生率，因而近年来也受到了越来越多临床医生的推崇，但对于重度峡部裂腰椎滑脱的治疗效果欠佳。现就近年来腰椎滑脱的手术治疗进展做一综述。 |
| 【关键词】腰椎滑脱 外科手术 综述文献 |
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| Progress on surgical treatment of isthmic spondylolisthesis |
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| ABSTRACT Isthmic spondylolisthesis is a common degenerative disease of the spine and seriously affects people's quality of life. At present,surgical indications for lumbar spondylolisthesis have basically reached consensus. The surgical plan for the disease is mainly isthmus repair,decompression of spinal canal,reduction of spondylolisthesis,and spinal fusion. The principle of treatment is mainly to relieve nerve compression and restore spinal stability,but for each the specific method and degree of implementation of the link still remains controversial. Open surgery can complete decompression,reduction and fusion of severe spondylolisthesis,and rebuild the stability of the spine. However,the surgical trauma is too large. Minimally invasive surgery can reduce the damage of paravertebral soft tissue,reduce intraoperative blood loss,shorten the time of hospitalization and rehabilitation,and reduce the incidence of intraoperative and postoperative complications. Therefore,in recent years,more and more clinicians praise it,but the treatment of severe spondylolisthesis lumbar spondylolisthesis is not effective. This article reviews recent advances in surgical treatment of lumbar spondylolisthesis. |
| KEY WORDS Lumbar spondylolisthesis Surgical procedures,operative Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邵珂,吉立新.峡部裂性腰椎滑脱症的手术治疗进展[J].中国骨伤,2019,32(3):283~287 |
| 英文格式: | SHAO Ke,JI Li-xin.Progress on surgical treatment of isthmic spondylolisthesis[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(3):283~287 |
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