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华西医学  2011 

颈椎前路手术20例并发症治疗分析

, PP. 51-53

Keywords: 脊髓型颈椎病,前路手术,并发症

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Abstract:

【】 目的 探讨颈椎手术并发症原因及预防措施,以提高手术成功率。 方法 对2000年5月-2009年5月实施颈椎前路手术的脊髓型颈椎病患者201例中20例发生并发症患者的临床资料及随访情况进行回顾性分析。 结果 20例并发症患者获得随访时间3个月~10年,平均5.5年。近期并发症11例,发生率5.47%;远期并发症9例,发生率4.48%。 结论 充分认识脊髓的损伤类型,仔细评估患者的全身情况,熟练的手术操作,良好的术后护理是手术成功的关键。?【Abstract】 Objective Toinvestigatethereasonsofandpreventionforsurgicalcomplicationsofanteriorcervicalspine. Methods Theclinicaldataof20patientswithsurgicalcomplicationsin201patientswhounderwentanteriorcervicalsurgeryfromMay2000toMay2009wereanalyzedretrospectively. Results Thepatientswithcomplicationswerefollowedupfor3monthsto10yearswithanaverageof5.5years.Therateof11patientswithshort-termcomplicationswas15%,andtherateofninepatientswithlong-termcomplicationswas4.48%. Conclusion Thekeyofasuccessfulsurgeryforanteriorcervicalspineinludesfullrealizationoftypeofcervicalspinalcordinjury,carefulevaluationofthepatient’sgeneralcondition,skilledoperation,andgoodpost-operativecare.

References

[1]   Kaner T, Sasani M, Oktenolu T, et al. Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy[J]. Turk Neurosurg, 2009, 19(2): 121-126.
[2]   Hannallah D, Lee J, Khan M, et al. Cerebrospinal fluid leaks following cervical spine surgery[J]. J Bone Joint Surg Am, 2008, 90(5): 1101-1105.
[3]   Phommachanh V, Patil YJ, McCaffrey TV, et al. Otolaryngologic management of delayed pharyngoesophageal perforation following anterior cervical spine surgery[J]. Laryngoscope, 2010, 120(5): 930-936.
[4]   Apfelbaum RI, Kriskovich MD, Haller JR. On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery[J]. Spine (Phila Pa 1976), 2000, 25(22): 2906-2912.
[5]   Jung A, Schramm J. How to reduce recurrent laryngeal nerve palsy in anterior cervical spine surgery: a prospective observational study[J]. Neurosurgery, 2010, 67(1): 10-15, discussion 15.
[6]   Patel NP, Wolcott WP, Johnson JP, et al. Esophageal injury associated with anterior cervical spine surgery[J]. Surg Neurol, 2008, 69(1): 20-24, discission 24.
[7]   Kriskovich MD, Apfelbaum RI, Haller JR. Vocal fold paralysis after anterior cervical spine surgery: incidence, mechanism, and prevention of injury[J]. Laryngoscope, 2000, 110(9): 1467-1473.
[8]   Hasegawa K, Homma T, Chiba Y. Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion[J]. Spine (Phila Pa 1976), 2007, 32(6): E197-202.
[9]   Wright IP, Eisenstein SM. Anterior cervical discectomy and fusion without instrumentation[J]. Spine (Phila Pa 1976), 2007, 32(7): 772-774, discussion 775.
[10]   Hannallah D, Lee J, Khan M, et al. Cerebrospinal fluid leaks following cervical spine surgery[J]. J Bone Joint Surg Am, 2008, 90(5): 1101-1105.
[11]   Nakra D, Bala I, Pratap M. Unilateral postoperative visual loss due to central retinal artery occlusion following cervical spine surgery in prone position[J]. Paediatr Anaesth, 2007, 17(8): 805-808.
[12]   Fujibayashi S, Shikata J, Kamiya N, et al. Missing anterior cervical plate and screws: a case report[J]. Spine (Phila Pa 1976), 2000, 25(17): 2258-2261.
[13]   陈雄生, 贾连顺, 曹师锋, 等. 颈椎前路手术的并发症[J]. 中华骨科杂志, 2003, 23(11): 644-649.
[14]   Farey ID, McAfee PC, Davis RF, et al. Pseudarthrosis of the cervical spine after anterior arthrodesis. Treatment by posterior nerve-root decompression, stabilization, and arthrodesis[J]. J Bone Joint Surg Am, 1990, 72(8): 1171-1177.
[15]   Bohlman HH, Kirkpatrick JS, Delamarter RB, et al. Anterior decompression for late pain and paralysis after fractures of the thoracolumbar spine[J]. Clin Orthop Relat Res, 1994, (300): 24-29.
[16]   Schneeberger AG, Boos N, Schwarzenbach O, et al. Anterior cervical interbody fusion with plate fixation for chronic spondylotic radiculopathy: a 2- to 8-year follow-up[J]. J Spinal Disord 1999, 12(3): 215-220, discussion 221.

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