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外科手术后的术后增强恢复 (ERAS) 单侧双门内镜的临床途径与单侧拉米诺托米用于双侧减压

Zhiwu Zhang¹, Jiashen Shao¹, Shuning Liu¹

¹Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Orthopaedic surgery

|July 22, 2025

概括

手术后增强恢复 (ERAS) 途径改善了为患者进行单侧双门内镜与单侧拉米内切除双边减压 (UBE-ULBD) 腰椎缩 (LSS) 的患者的结果. 与传统护理相比,ERAS患者的疼痛减少,移动性更早,住院时间更短.

科学领域:

最少侵入性的脊柱手术
外科手术的结果
增强的恢复协议恢复协议

背景情况:

单侧双门内镜与单侧拉米切除术用于双侧减压 (UBE-ULBD) 是腰椎狭窄症 (LSS) 的关键手术技术.
优化术后护理对于改善UBE-ULBD手术后患者康复至关重要.
手术后增强恢复 (ERAS) 临床途径为外科手术期间的管理提供了一个结构化的方法.

研究的目的:

评估ERAS临床途径在接受LSSUBE-ULBD的患者中的有效性.
为了比较ERAS和传统护理组之间的术后和短期临床结果.
评估ERAS对疼痛,功能恢复和并发症率的影响.

主要方法:

对从2022年5月至2024年4月接受UBE-ULBD的LSS患者进行回顾性队列研究.
患者分为ERAS (2023年5月至2024年4月) 和传统 (2022年5月至2023年4月) 组.
分析视觉模拟尺度 (VAS) 疼痛评分,奥斯威斯特残疾指数 (ODI),步行距离,行走时间,住院时间 (LOS),阿片类药物消费和并发症发生率.

主要成果:

ERAS组在6小时和24小时后显示出明显较低的术后疼痛得分.
在ERAS组的患者经历了较早的行走和较短的总和术后LOS.
两组之间在手术前/出院后的疼痛,ODI,步行距离或并发症率方面没有发现显著差异.

结论:

该ERAS计划与UBE-ULBD手术集成,优化了手术期间的管理.
埃拉斯有助于改善术后康复质量和令人满意的短期临床结果.
在ERAS框架内进行的多学科协作,有助于提高LSS患者的护理.

关键词:

在手术后增强恢复 (ERAS).住院时间 (LOS)腰椎脊柱狭窄症 (LSS) 是一种疾病.术后的行走时间.一边双门内镜 (UBE)单边拉米切除术用于双边减压 (ULBD).

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