fmx_T3RoZXJNaXJyb3Jz
中华外科杂志 2025 年9 月第 63 卷第 9 期 Chin J Surg, September 2025, Vol. 63, No. 9 · 771 ·
高龄患者腰椎融合术常见并发症防治指南
（2025版）
中国医师协会神经修复学专业委员会
通信作者：冯世庆，山东大学第二医院骨科，济南 250033，Email： shiqingfeng@sdu.edu.cn
【摘要】 随着我国人口老龄化加重，高龄人群腰椎退行性疾病越来越受到关注。腰椎融合术是
腰椎退行性疾病的重要手术方式，主要通过植骨、内固定等方法使相邻椎体之间实现骨性融合。高龄
患者病理生理特征复杂，腰椎融合术后相关并发症发生风险较高，严重影响患者预后。目前仍缺乏对
于高龄患者腰椎融合术相关常见并发症的预防和治疗规范。为此，中国医师协会神经修复学专业委
员会牵头成立专家工作组，遵循指南制订原则和方法，基于相关循证医学证据，经过广泛研讨，最终制
订了《高龄患者腰椎融合术常见并发症防治指南（2025版）》，涉及高龄患者腰椎融合术后 10类常见并
发症，包含20条推荐意见，以供临床实践参考。
【关键词】 脊柱融合术； 手术后并发症； 高龄患者； 腰椎融合术； 并发症； 预防； 治疗；
指南
基金项目：国家重点研发计划项目（2024YFC3607000）
实践指南注册：国际实践指南注册与透明化平台（PREPARE‑2024CN337）
Guideline for prevention and treatment of common complications in older patients
undergoing lumbar spinal fusion (2025 edition)
Chinese Medical Doctor Association Committee of Neural Restoration
Corresponding author: Feng Shiqing, Department of Orthopedics, the Second Hospital of Shandong
University, Jinan 250033, China, Email: shiqingfeng@sdu.edu.cn
【Abstract】 With the aging of the population in China, lumbar degenerative diseases among
the older patients have drawn growing attention. Lumbar fusion is an important surgical treatment
for degenerative diseases of the lumbar spine, which mainly achieves bony fusion between adjacent
vertebrae through methods such as bone grafting and internal fixation. Due to the unique
physiological and pathological characteristics of the older patients, it often leads to a higher risk of
complications associated with lumbar fusion, which affects the patient′s prognosis. However, there is
still a lack of standards for the prevention and treatment of some common complications associated
with lumbar fusion surgery in the older patients. The Chinese Medical Doctor Association Committee
of Neural Restoration took the lead in establishing a guideline development group, followed the
principles and methods of guideline development, and produced “Guideline for prevention and
treatment of common complications in older patients undergoing lumbar spinal fusion
（2025 edition）”, covering ten types of common complications associated with lumbar fusion in the
older patients with 20 recommendations for clinical practice reference.
【Key words】 Spinal fusion; Postoperative complications; Older patients; Lumbar
fusion; Complication; Prevention; Treatment; Guidelines
·规范与指南·
DOI：10.3760/cma.j.cn112139-20250603-00286
收稿日期 2025-06-03 本文编辑 郑佳依
引用本文：中国医师协会神经修复学专业委员会 . 高龄患者腰椎融合术常见并发症防治指南（2025版）
[J]. 中华外科杂志, 2025, 63(9): 771-778. DOI: 10.3760/cma.j.cn112139-20250603-00286.
·· 771
