Degenerative lumbar spinal stenosis (DLSS) is a costly disease that mainly occurs during the old age, which seriously affects the normal life. There are many treatment options for DLSS. The development and clinical application of high-quality clinical practice guidelines are major ways to improve the diagnosis and treatment of DLSS.

To provide a reference for the development and reporting of clinical practice guidelines of DLSS, with guidelines of DLSS evaluated using AGREEⅡ and RIGHT, from the perspectives of methodology and quality.

Databases were searched for clinical practice guidelines, consensuses and specifications about DLSS, including CBM, CNKI, Wanfang Data, VIP, PubMed, Medlive, WHO, the National Institute for Health and Care Excellence, Guidelines International Network, National Guideline Clearinghouse and Scottish Intercollegiate Guideline Network from January 1, 2010 to January 1, 2022. The methodological quality and reporting quality of included studies were evaluated by two raters independently. And the recommendations in the studies were compared under the uniform grading criteria.

Six studies were enrolled, including four guidelines and two consensuses. One guideline is based on TCM, and the other three are evidence-based guidelines. The evaluation results of AGREEⅡ showed that the ratio of the actual total score to the full score of the six included studies was 78.2%, 53.6%, 45.7%, 37.7%, 28.2% and 15.0%, from highest to the lowest. RIGHT evaluation showed that the ratio of the actual total score to the full score of the four guidelines was 72.9%, 72.9%, 62.9% and 34.3%, from highest to the lowest. A total of 46 therapeutic and 11 non-therapeutic recommendations were developed in the six studies.

The methodological quality and reporting specification of the present DLSS guidelines and consensuses require to be further improved. Further reference should be made to international standards such as AGREE Ⅱ and RIGHT in the process of guideline development and reporting. Surgical treatment is the preferred recommendation for patients with moderate or severe DLSS.

退行性腰椎管狭窄症（DLSS）是一种老年多发，严重影响患者正常生活且医疗费用负担较重的疾病。DLSS治疗方法较多，开发高质量的临床实践指南和临床医生应用高质量指南是提高DLSS诊疗水平的重要途径。

采用AGREEⅡ及RIGHT评价DLSS相关指南的方法学及报告质量，为DLSS指南制订及报告提供参考依据。

计算机检索中国生物医学文献数据库（CBM）、中国知网（CNKI）、万方数据知识服务平台（Wanfang Data）、维普网（VIP）、PubMed，补充检索医脉通数据库（Medlive）、世界卫生组织（WHO）、英国国家临床优化研究所（NICE）、国际指南协作网（GIN）、美国国立指南文库（NGC）和苏格兰院际间协作网（SIGN）等指南库中有关DLSS的临床实践指南、共识或规范，检索时限均为2010-01-01至2022-01-01。由两位评价员独立对纳入文献进行方法学质量及报告质量评价，并在文献中推荐意见等级统一前提下进行比较。

共纳入6篇文献，其中4篇指南，2篇共识；1篇指南为中医指南，3篇指南为循证指南。AGREEⅡ评价结果显示纳入6篇文献的实际总得分/总最高可能得分的比值从高到低依次为78.2%、53.6%、45.7%、37.7%、28.2%及15.0%。RIGHT评价显示纳入的4篇指南实际总得分/总最高可能得分比值从高到低依次为72.9%、72.9%、62.9%及34.3%。6篇文献共形成了46条治疗类和11条非治疗类的推荐意见。

当前DLSS相关指南和共识方法学质量和报告规范还有待进一步提升，在指南制订和报告过程中，应进一步参考AGREEⅡ和RIGHT等国际标准。对于中重度DLSS患者治疗推荐意见倾向于手术治疗。