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颈椎前路减压植骨融合术的并发症分析 被引量:27

An analysis of the complications of anterior cervical decompression and interbody fusion
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摘要 1976年4月~1993年8月共做颈椎前路减压植骨融合术150例,发生24例(26次)与手术有关的并发症。分为七类:(1)脊髓损伤8例,其中颈椎过伸性损伤2例,明显器械刺激损伤2例,植骨块挤压1例,无明显原因术后瘫痪加重者3例;(2)脊神经根损伤2例;(3)脑脊液漏5例;(4)喉上神经与喉返神经损伤各2例;(5)颈深部血肿1例;(6)椎间盘错切2例;(7)股外侧皮神经损伤3例。对以上并发症分析了原因并提出了预防措施。 From April 1976 to August 1993, 150 cases with cervical spondylosis and cervical fracturedislocation were treated by anterior cervical decompression and interbody fusion. Of them complications were found in 24 cases (26 times). Among them,injury of spinal cord in 8 cases ,injury of cervical nerve root in 2 cases,leakage of cerebrospinal in 5 cases ,injury of superior laryngeal nerve and recurrent laryngeal nerve in 4 case,deep wound hematoma in 1 case,the operation was done at the wrong level in 2 cases, injury of nervus cutaneus femoris lateralis in 3 cases. The causes of complications and preventive measures were discussed.Author’s address( Orthopedic Department of Beijing Army General Hospital,Beijing, 100700)
出处 《中国脊柱脊髓杂志》 CSCD 1995年第1期5-7,共3页 Chinese Journal of Spine and Spinal Cord
关键词 颈椎 前路减压 植骨 融合 并发症 Cervical spine Anterior decompression Interbody fusion Complication
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