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[颈椎病外科治疗与围手术期管理专家共识(2018年)]

[The experts consensus on the surgical treatment and perioperative management of cervical spondylosis (2018)].

出版信息

Zhonghua Wai Ke Za Zhi. 2018 Dec 1;56(12):881-884. doi: 10.3760/cma.j.issn.0529-5815.2018.12.001.

Abstract

In order to standardize the surgical care and perioperative management for patients with cervical spondylosis, the Editorial Board of has organized the several meetings with certain experienced spine surgeons regarding prevent complications related to surgical procedure, ensure the treatment safety as well as in improving the outcome efficacy. In the meantime, the relevant focused issues and repeated consulting have been reviewed and presented on a larger spectrum. By 2 years efforts, the consensus has been developed for patients with different types of cervical spondylosis. The principle of surgical treatment, including surgical approach, operating procedures, technical consideration, the patient selection and evaluation criteria of cervical spondylosis have been elucidated. The decision-making and management have been also recommended during preoperative, intraoperative, and postoperative respectively. For the controversies of surgical strategy and related clinical issues of cervical spondylosis, the principled and guided advices have been addressed. Due to certain limitation, this consensus is only attempted to provide a recommend conclusion either for the clinical practice or related studies in treatment strategy for patients with cervical spondylosis. This consensus only provides academic guidance.

摘要

为规范颈椎病患者的手术治疗及围手术期管理,《[期刊名称]》编辑委员会组织了多次会议,与多位经验丰富的脊柱外科医生共同探讨预防手术相关并发症、确保治疗安全以及提高治疗效果等问题。同时,对相关重点问题及反复咨询的内容进行了更广泛的回顾和呈现。经过两年的努力,针对不同类型的颈椎病患者形成了共识。阐明了手术治疗的原则,包括手术入路、手术操作、技术要点、颈椎病患者的选择及评估标准等。还分别推荐了术前、术中和术后的决策与管理方法。针对颈椎病手术策略及相关临床问题的争议,给出了有原则且具指导性的建议。由于存在一定局限性,本共识仅旨在为颈椎病患者的临床实践或治疗策略相关研究提供推荐性结论,仅提供学术指导。

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