经皮内镜椎板间入路腰椎管减压椎间盘切除术加速康复专家共识(2020)

2020-11-29 中国修复重建外科杂志.2020.34(12):1-10.

近年来,加速康复外科(enhanced recovery after surgery,ERAS)在脊柱外科广泛应用,取得了良好效果。为了细化、规范 ERAS 实施流程在经皮内镜椎板间入路腰椎管减压椎间

中文标题:

经皮内镜椎板间入路腰椎管减压椎间盘切除术加速康复专家共识(2020)

发布机构:

发布日期:

2020-11-29

简要介绍:

近年来,加速康复外科(enhanced recovery after surgery,ERAS)在脊柱外科广泛应用,取得了良好效果。为了细化、规范 ERAS 实施流程在经皮内镜椎板间入路腰椎管减压椎间盘切除术(percutaneous endoscopic interlaminar lumbar decompression/discectomy,PEID)中的应用,作者通过查阅文献,遵循循证医学原则,并经过中国康复技术转化及发展促进会骨科加速康复专业委员会脊柱微创加速康复学组专家反复讨论,最终编辑整理完成本共识。共识内容主要包括规范手术操作、减少手术创伤和并发症、优化围术期疼痛与睡眠管理、预防静脉血栓形成,以及指导患者功能训练、围术期宣教等方面,旨在供广大脊柱外科医师在临床工作中参考应用。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1007516, encodeId=9098100e516fe, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=40035494998, createdName=missye, createdTime=Fri Aug 13 09:10:48 CST 2021, time=2021-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972634, encodeId=ddc19e26340f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=498f5518383, createdName=ms2000000148435740, createdTime=Thu Jun 10 19:57:33 CST 2021, time=2021-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=963954, encodeId=f34c96395431, content=很受用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210509/1f9a8d877b864ff290efa46961a28c3d/d165880db5d04fd6860454fc8ea21acf.jpg, createdBy=b0b05487430, createdName=萨瓦迪卡3189923, createdTime=Sun May 09 13:17:51 CST 2021, time=2021-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=947670, encodeId=ff8994e67060, content=很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201231/498e39e7cbac4a3483b831e2646e2db2/9b878d3552114d31b02480580f4b8a50.jpg, createdBy=5d855221351, createdName=1477e592m09暂无昵称, createdTime=Fri Mar 12 13:49:38 CST 2021, time=2021-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920457, encodeId=fe4192045e56, content=这个指南让我更规范。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68ea1939949, createdName=1e0ec36cm48(暂无匿称), createdTime=Wed Jan 27 22:38:28 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-08-13 missye

    学习

    0

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    2021-06-10 ms2000000148435740

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1007516, encodeId=9098100e516fe, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=40035494998, createdName=missye, createdTime=Fri Aug 13 09:10:48 CST 2021, time=2021-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972634, encodeId=ddc19e26340f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=498f5518383, createdName=ms2000000148435740, createdTime=Thu Jun 10 19:57:33 CST 2021, time=2021-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=963954, encodeId=f34c96395431, content=很受用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210509/1f9a8d877b864ff290efa46961a28c3d/d165880db5d04fd6860454fc8ea21acf.jpg, createdBy=b0b05487430, createdName=萨瓦迪卡3189923, createdTime=Sun May 09 13:17:51 CST 2021, time=2021-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=947670, encodeId=ff8994e67060, content=很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201231/498e39e7cbac4a3483b831e2646e2db2/9b878d3552114d31b02480580f4b8a50.jpg, createdBy=5d855221351, createdName=1477e592m09暂无昵称, createdTime=Fri Mar 12 13:49:38 CST 2021, time=2021-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920457, encodeId=fe4192045e56, content=这个指南让我更规范。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68ea1939949, createdName=1e0ec36cm48(暂无匿称), createdTime=Wed Jan 27 22:38:28 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-05-09 萨瓦迪卡3189923

    很受用

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1007516, encodeId=9098100e516fe, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=40035494998, createdName=missye, createdTime=Fri Aug 13 09:10:48 CST 2021, time=2021-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972634, encodeId=ddc19e26340f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=498f5518383, createdName=ms2000000148435740, createdTime=Thu Jun 10 19:57:33 CST 2021, time=2021-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=963954, encodeId=f34c96395431, content=很受用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210509/1f9a8d877b864ff290efa46961a28c3d/d165880db5d04fd6860454fc8ea21acf.jpg, createdBy=b0b05487430, createdName=萨瓦迪卡3189923, createdTime=Sun May 09 13:17:51 CST 2021, time=2021-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=947670, encodeId=ff8994e67060, content=很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201231/498e39e7cbac4a3483b831e2646e2db2/9b878d3552114d31b02480580f4b8a50.jpg, createdBy=5d855221351, createdName=1477e592m09暂无昵称, createdTime=Fri Mar 12 13:49:38 CST 2021, time=2021-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920457, encodeId=fe4192045e56, content=这个指南让我更规范。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68ea1939949, createdName=1e0ec36cm48(暂无匿称), createdTime=Wed Jan 27 22:38:28 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-03-12 1477e592m09暂无昵称

    很详细

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1007516, encodeId=9098100e516fe, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=40035494998, createdName=missye, createdTime=Fri Aug 13 09:10:48 CST 2021, time=2021-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972634, encodeId=ddc19e26340f, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=498f5518383, createdName=ms2000000148435740, createdTime=Thu Jun 10 19:57:33 CST 2021, time=2021-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=963954, encodeId=f34c96395431, content=很受用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210509/1f9a8d877b864ff290efa46961a28c3d/d165880db5d04fd6860454fc8ea21acf.jpg, createdBy=b0b05487430, createdName=萨瓦迪卡3189923, createdTime=Sun May 09 13:17:51 CST 2021, time=2021-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=947670, encodeId=ff8994e67060, content=很详细, beContent=null, objectType=guider, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201231/498e39e7cbac4a3483b831e2646e2db2/9b878d3552114d31b02480580f4b8a50.jpg, createdBy=5d855221351, createdName=1477e592m09暂无昵称, createdTime=Fri Mar 12 13:49:38 CST 2021, time=2021-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920457, encodeId=fe4192045e56, content=这个指南让我更规范。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68ea1939949, createdName=1e0ec36cm48(暂无匿称), createdTime=Wed Jan 27 22:38:28 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-01-27 1e0ec36cm48(暂无匿称)

    这个指南让我更规范。

    0