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内镜腰椎间体融合的学习曲线:一个系统的审查
Yong Ahn1, Hajin An1, Sol Lee2
1Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul 05278, Republic of Korea.
Journal of clinical medicine
|December 30, 2025
概括
内镜腰椎间体融合 (ELIF) 具有学习曲线,熟练程度通常达到23个左右. 结构化的培训是安全有效地采用这种微创脊柱手术技术的关键.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少侵入性的技术
- 外科教育的外科教育
背景情况:
- 末镜腰部内体融合 (ELIF) 与开放式手术相比,具有优势.
- 显著的学习曲线阻碍了ELIF的广泛采用.
- 了解技能获取对于外科培训至关重要.
研究的目的:
- 系统地审查ELIF学习曲线的证据.
- 确定影响ELIF手术能力的因素.
- 为了确定ELIF外科医生的能力值.
主要方法:
- 在PubMed,Embase和Cochrane图书馆进行系统的文献搜索.
- 包括研究与定量学习曲线分析的研究.
- 操作性能,并发症率和切断点的聚合分析.
主要成果:
- 包括5项涉及425名患者的研究.
- 操作时间的熟练程度平均达到23.4例.
- 全内镜ELIF显示了较长的操作时间,但比双门技术更短的住院时间.
结论:
- 根据结果测量和内镜系统,ELIF的熟练程度有所不同.
- 结构化的培训和标准化的教育对ELIF至关重要.
- 优化学习曲线可确保ELIF的安全和高效实施.
相关概念视频
Overview of the Axial Skeleton
The skeleton is subdivided into two major divisions—the axial skeleton and the appendicular skeleton. The axial skeleton forms the vertical, central axis of the body. It includes all of the bones of the head, neck, chest, and back. It protects the brain, spinal cord, heart, and lungs. It also serves as the attachment site for muscles that move the head, neck, and back and for muscles that act across the shoulder and hip joints to move their corresponding limbs.
The axial skeleton of the adult...
The axial skeleton of the adult...
Vertebral Column: Regions and Curvature
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form the...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form the...
General Structure of a Vertebra
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous column.
Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
Articulations of the Vertebral Column
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
Spinal Cord: Cross-sectional Anatomy
The cross-sectional anatomy of the spinal cord offers a detailed view of its complex structure and function within the central nervous system. At the core of the spinal cord lies the gray matter, characterized by its butterfly or "H"-shaped appearance in cross-section. This central region is enveloped by white matter, with the overall structure divided into symmetrical halves by the dorsal median sulcus and the ventral median fissure.
Gray Matter and its Components
Central to the gray matter is...
Gray Matter and its Components
Central to the gray matter is...

