开展微创脊柱外科技术的伦理思考

为了改善脊柱疾患病人的治疗水平，新的治疗方法，特别是脊柱手术微创化，必须得到不断发展。而开展微创脊柱外科技术必须经过严格的临床研究并且符合严格的伦理要求，本文分析开展微创脊柱外科手术所产生的一系列伦理问题，并提出对策。

The ethics of the introduction of minimally invasive techmque into spinal practice

For orthopaedic care of patients to continue to improve, new approaches, especially minimally invasive spinal technique, must be continually developed.To verify this technique actually provides improved outcomes, these approachs must be subjected to rigorous scientific study. However, because outcomes of clinical interventions only can be studied in human subjects, this practice must not only meet scientific criteria. it also must meet strict ethical criteria. The author analysised the state of minimally invasive spinal technique in china and foreign countries, and illustrated ethical problems and countermeasure on playing of minimally invasive technique into spinal practice.