Objective:

To summarize the research progress of ureteral injury in oblique lumbar interbody fusion (OLIF).

Methods:

The literature about incidence, clinical manifestations, diagnosis, and treatment of ureteral injury complications in OLIF was reviewed.

Results:

OLIF surgery poses a risk of ureteral injury because its surgical approach is anatomically adjacent to the left ureter. Ureteral injuries in OLIF are often insidious and have no specific clinical manifestations. CT urography is a common diagnostic method. The treatment of ureteral injury depends on a variety of factors such as the time of diagnosis, the location and degree of injury, and the treatment methods range from endoscopic treatment to replacement reconstruction.

Conclusion:

Surgeons should pay attention not to damage the ureter and find the abnormality in time during OLIF. High vigilance of abnormalities is conducive to the early diagnosis of ureteral injury. Furthermore, it is important to be familiar with ureter anatomy and gentle operation to prevent ureteral injury.

目的:

总结斜外侧腰椎椎间融合术（oblique lumbar interbody fusion，OLIF）输尿管损伤并发症的研究进展。.

方法:

广泛查阅近年国内外相关文献，对 OLIF 手术输尿管损伤发生率、临床表现、诊断和治疗方法进行总结。.

结果:

OLIF 手术通道在解剖学上与左侧输尿管相毗邻，因此存在输尿管损伤风险。术中输尿管损伤常较隐匿，临床表现无特异性，CT 尿路造影是常用的诊断方法。输尿管损伤的治疗方式取决于诊断时间、损伤位置及程度等多种因素，治疗方法涵盖内镜治疗、替代物重建等多种修复手段。.

结论:

OLIF 术中应提高警惕，注意勿损伤输尿管，并及时发现异常情况。熟悉输尿管解剖、术中强调轻柔操作等对于预防输尿管损伤具有重要意义。.