摘要为了进一步规范颈椎病的手术治疗,加强围手术期管理,有效预防和处理手术并发症,保障手术安全,提高手术疗效,中华外科杂志编辑部组织有关专家,围绕颈椎病手术治疗的若干热点问题,结合临床实际及国内外相关研究的进展进行了深入研讨.经过2年时间的多次专题讨论并在较大范围内反复征求意见,形成了本共识.这一共识提出了颈椎病手术治疗应当遵循的基本原则、各分型颈椎病及特殊类型颈椎病的手术适应证,概述了颈椎病手术治疗的基本技术(包括不同手术入路的主要特点、选择依据及常用术式),推荐了颈椎病的病情评估及疗效评价标准,较为具体地阐述了颈椎病手术治疗的术前管理、术中管理、术后管理及并发症预防与处理的一般原则和方法.对于颈椎病手术治疗及相关临床情况中尚存在较大争议的若干问题,本共识提出了原则性、方向性的建议.本共识仅作为学术性指导意见.

abstractsIn order to standardize the surgical care and perioperative management for patients with cervical spondylosis,the Editorial Board of Chinese Journal of Surgery has organized the several meetings with certain experienced spine surgeons regarding prevent complications related to surgical procedure,ensure the treatment safety as well as in improving the outcome efficacy.In the meantime,the relevant focused issues and repeated consulting have been reviewed and presented on a larger spectrum.By 2 years efforts,the consensus has been developed for patients with different types of cervical spondylosis.The principle of surgical treatment,including surgical approach,operating procedures,technical consideration,the patient selection and evaluation criteria of cervical spondylosis have been elucidated.The decision-making and management have been also recommended during preoperative,intraoperative,and postoperative respectively.For the controversies of surgical strategy and related clinical issues of cervical spondylosis,the principled and guided advices have been addressed.Due to certain limitation,this consensus is only attempted to provide a recommend conclusion either for the clinical practice or related studies in treatment strategy for patients with cervical spondylosis.This consensus only provides academic guidance.