| 标题： | 颈椎椎板成形术操作规范（2025年版） |
| title： | Practice Guidelines for Cervical Laminoplasty |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 治疗 |
| field： | Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 本操作规范适用于实施颈椎椎板成形术的医疗机构；使用人群为开展颈椎椎板成形术的医务工作者(包括临床医师、护师等）。 |
| Guide users： | This Practiece Guidelines are applied to medical institutions that perform cervical laminoplasty, suitable for medical workers (including physicians, nurse practitioners, etc.) who perform cervical laminoplasty. |
| 证据分级方法： | 针对纳入的临床问题，遵循循证医学文献检索格式（即PICO原则，包括人群、干预措施、对照、结局指标）对临床问题进行解构并检索。如果存在2年内的系统评价，可以回答临床问题，AMSTAR2（a measurement tool to assess systematic reviews 2）评价质量高且无需更新，则直接采用；如果2年内存在多篇系统评价，根据纳入研究、方法学评价质量进行选择或合并；如果无2年内系统评价、系统评价质量较低或需要更新，对检索到证据通过系统评价进行整合后回答临床问题；如果检索到证据同类型研究设计较少，无法合并，则对证据汇总后进行陈述性描述。 对证据的评价和筛选，操作规范选用中国临床实践评价标准（AGREE-China）评价；随机对照研究（Randomised Controlled Trials）采用改良Jadad量表评价，非随机对照研究使用MINORS评价条目评价，观察性研究使用纽卡斯尔-渥太华量表(Newcastle-Ottawa Scale,NOS)进行评价。评价由2人独立完成，存在分歧时由第3位研究员参与讨论并达成共识。 采用GRADE分级（grading of recommendations assessment，development and evaluation，GRADE）对每个临床问题纳入的研究进行证据质量进行评级。对于定性研究的证据，采用良好实践申明（good practice statement，GPS）进行评价。 |
| Evidence grading method： | For the included clinical questions, the clinical questions were deconstructed and searched following the evidence-based medicine literature search format (i.e., PICO principles, including population, intervention, control, and outcome indicators). 1. If systematic reviews within 2 years existed that answered the clinical question and AMSTAR2 (a measurement tool to assess systematic reviews 2) evaluations were of high quality, and did not need to be updated, they were used directly. 2. If multiple systematic reviews existed within 2 years, they were selected or combined based on the quality of the included studies, methodological evaluations. 3. If there were no 2-year systematic reviews within 2 years, systematic reviews were of low quality or needed to be updated, the retrieved evidence was integrated by systematic reviews to answer the clinical question. 4. If the retrieved evidence had fewer studies of the same type of study design and could not be merged, the evidence was summarized and described in a declarative manner. For evidence screening, the Chinese Clinical Practice Evaluation Standards (AGREE-China) was used to evaluate the operational guidelines. Randomized controlled studies (Randomized Controlled Trials) were evaluated by the Modified Jadad Scale. Non-randomized controlled studies were evaluated by the MINORS evaluation entry, and observational studies were evaluated by the Newcastle-Ottawa Scale (Newcastle-Ottawa Scale, NOS) for evaluation. Evaluations were done independently by 2 people, with a third researcher participating in the discussion and reaching consensus in case of disagreement. The quality of evidence was rated using the GRADE grading (Grading of Recommendations Assessment, Development and Evaluation, GRADE) for studies included in each clinical question. For qualitative studies, evidence was described using the good practice statement (GPS). |
| 制定单位： | 首都医科大学附属北京积水潭医院 |
| Formulating unit： | Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, China |
| 注册时间： | 2024-10-10 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN777 |
| Registration number： | |
| 指南制订的目的： | 为规范颈椎椎板成形术临床操作，合理把握手术适应证，做好手术并发症的预防和处理，保障医疗质量安全，维护患者权益，国家卫生健康委员会委托国家骨科医学中心首都医科大学附属北京积水潭医院牵头承担《颈椎椎板成形术操作规范》制定工作，组织行业内权威专家广泛参与，联合撰稿，编写本版操作规范。 |
| Purpose of the guideline： | In order to standardize the clinical operation of cervical laminoplasty, reasonably grasp the indications for the operation, do a good job in the prevention and treatment of surgical complications, guarantee the quality and safety of medical care, and safeguard the rights and interests of patients, the National Health Commission of the PRC has commissioned the National Orthopaedic Medical Center of Beijing Jishuitan Hospital, Capital Medical University to take the lead in the formulation of the “Practice Guidelines for Cervical Laminoplasty”. The development team organized a wide range of authoritative experts in the industry to participate in the preparation of this version of the Practice Guidelines. |
