《中华骨与关节外科杂志》2023年2月第16卷第2期Chin J Bone Joint Surg,VoL.16,No.2,Feb.202397·专家共识·退行性腰椎管狭窄症诊疗专家共识中国康复医学会骨质疏松预防与康复专业委员会，中国老年保健协会骨科微创分会【摘要】退行性腰椎管狭窄症(DLSS)已成为骨科最常见的疾病之一。随着微创珍疗技术和加速康复外科(ERAS)理念的发展，DLSS的诊断和治疗方法有了很大变化，有必要对现有的诊疗指南或共识进行补充和更新。通过采用改良Delphi调查研究法和检索文献，制定调查问卷，经国内脊柱外科知名专家反复讨论，针对DL$S的珍断和治疗方法达成共识，供广大医务工作者参考。本共识主要内容包括DLSS的概述、珍断、非手术治疗、手术治疗和围手术期ERAS管理。【关键词】腰椎管狭窄；退行性；珍疗；微创；加速康复外科【中图分类号】R681.5【文章编号】2095-9958(2023)02-0097-07【文献标志码】AD0:10.3969i.issn.2095-9958.2023.02.01Expert consensus on diagnosis and treatment for degenerative lumbar spinal stenosisOsteoporosis Prevention and Rehabilitation Professional Committee of China Rehabilitation Medical Association,Orthopaedics Minimally Invasive Branch of China Geriatric Health AssociationCorresponding Author:QIU Guixing,YANG Huilin[Abstract]Degenerative lumbar spinal stenosis (DLSS)has become one of the most common orthopaedic diseases.With thedevelopment of minimally invasive techniques and enhanced recovery after surgery (ERAS)concept for spinal surgery,the diagnosisand treatment of DLSS have changed significantly,and there is a need to supplement and update existing guidelines or consensus.Through the improved Delphi survey and research method,literature retrieval and the formulation of questionnaire,after several roundsofdiscussion by domestic well-known spine surgery experts,the consensus was reached on the diagnosis and treatment of DLSS,whichcan be used as a reference for the majority of medical workers.This consensus mainly includes:definition,diagnosis,non-surgicaltreatment,surgical treatment and perioperative ERAS management of DLSS.[Key words]Lumbar Spinal Stenosis;Degenerative;Diagnosis and Treatment,Minimally Invasive;Enhanced Recovery After Surgery随着人口老龄化的加剧，退行性腰椎管狭窄症充和更新。由中国康复医学会骨质疏松预防与康复(degenerative lumbar spinal stenosis,.DLSS)已成为骨专业委员会、中国老年保健协会骨科微创分会发起，科最常见的疾病之一，严重影响中老年人的生活质通过采用改良Delphi调查研究法和检索文献，制定调量和身心健康。关于DLSS的诊断和治疗尚存在诸查问卷，由国内脊柱外科知名专家经过五轮会议讨多争议。为此，北美脊柱外科协会(North American论和调查投票，将问卷中获得75%（含）以上专家同意Spine Society,NASS)2011年制定了DLSS诊疗指(包括同意和基本同意)的内容纳入共识范畴，并以南四，国内于2014年发表了《腰椎管狭窄症手术治疗此为依据撰写了本共识。规范中国专家共识》。近年来，微创诊疗技术和加1定义速康复外科(enhanced recovery after surgery,ERAS)理念不断涌现和发展，DLSS的诊断和治疗方法有了DLSS指由于退行性病变引起椎管、侧隐窝、神很大变化，有必要对现有的诊疗指南或共识进行补经根管等狭窄，进而引起腰椎神经组织受压、血液循【基金项目】国家自然科学基金重点项目(82030068)：江苏省科技计划专项资金（重点研发计划社会发展）(BE2022730)[通信作者】邱贵兴，E-mail:qguix ing@126.com:杨惠林，E-mail:suzhouspine@163.com【引用格式】中国康复医学会骨质疏松预防与康复专业委员会，中国老年保健协会骨科微创分会，退行性腰椎管狭窄症诊疗专家共识门，中华骨与关节外科杂志，2023,16(2)：97-103.
