在单门和双门内镜脊柱手术期间对并发症管理的系统审查:持续撕裂和出血
Siravich Suvithayasiri1, Ju Eun Kim2, Facundo Van Isseldyk3,4
1Department of Orthopedics, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand.
Global spine journal
|February 27, 2026
概括
本综述详细介绍了内镜脊柱手术 (ESS) 期间的阴性持续性眼,发现修复手术是关键的风险因素. 它概述了为持久修复的分层管理,并强调为外科安全控制出血.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 最少侵入性的手术
背景情况:
- 催情性持续性眼是内镜脊柱手术 (ESS) 的已知并发症.
- 在ESS中有效管理手术内出血对于保持可视化和安全至关重要.
研究的目的:
- 评估ESS中阳性持续性眼的发生率,风险因素和管理.
- 为提供在单门和双门内镜脊柱手术期间手术内流血管理策略的叙述性综述.
主要方法:
- 系统的文献搜索 (PubMed,Embase,Cochrane,Scopus,Web of Science) 遵循PRISMA的指导方针. 这是一个很好的方法.
- 包括使用全内镜或单侧双门内镜 (UBE) 技术治疗退行性脊柱病理的英语研究.
- 使用ROBINS-E评估偏差风险;数据以系统和叙述的方式合成.
主要成果:
- 分析了19项研究 (10,578名患者);偶发性硬膜切除的发生率在0.54%至13.2%之间.
- 修复手术,腰椎缩和外科医生学习曲线是持续撕裂的重要预测因素.
- 根据破裂大小分层的管理策略;双门式方法有助于复杂的修复. 预防 - - 首先控制出血,强调血液动力学和水静态方法.
结论:
- 在ESS中有效的并发症管理需要适应水静态环境.
- 一个分层算法使安全的持续修复成为可能,而结构化的出血控制对于可视化和外科安全至关重要.
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