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不同微创手术方式治疗退行性腰椎滑脱症的研究进展

马楚杰, 莫泳皓, 余熙荣, 王子桓, 钟远鸣

摘要

退行性腰椎滑脱症作为脊柱退变常见疾病，以腰骶部疼痛和神经根性症状为主要表现。治疗策略应遵循个体化原则，结合患者滑脱程度、椎间盘退变分级及神经压迫情况进行分层管理。与传统开放手术相比，微创手术具备显著优势。传统术式因广泛软组织剥离、大范围手术创伤及高并发症发生率而受限。微创脊柱外科技术凭借微小切口、精准可控的术中出血和快速术后康复，已成为研究热点。本研究系统综述近年微创手术治疗退行性腰椎滑脱症的文献，多维度分析不同手术方式的优缺点，旨在为外科医生选择最佳治疗方案提供科学依据。

关键词

退行性腰椎滑脱症；脊柱微创；手术治疗；椎间融合术

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参考

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