摘要
目的：总结分析颈椎前路手术并发症原因并提出相应防治措施。方法：对2000年6月～2006年12月行颈椎前路手术的228例病人的临床资料进行总结和分析。结果：出现手术相关并发症25例，发生率为10．9％，其中颈部切口血肿、感染3例，喉返神经损伤3例，喉上神经损伤2例，迟发性食管瘘1例，脊髓神经根损伤损害5例，脑脊液漏3例，植骨块部分滑脱3例，钢板移位2例，螺钉误入椎间隙2例，呼吸衰竭肺部感染致死亡1例。结论：熟悉颈部解剖结构、提高手术操作技巧和详尽的术前准备可降低颈椎前路手术并发症。
Objective： To analyze the causes of complications related to anterior cervical spinal surgery and to explore the methods of prevention and management. Methods： Two hundred and twenty eighty patients were performed operation by cervical anterior approach from June 2000 to December 2006. Clinical materials of patients were collected and analyzed retrospectively. Results： The complications related to surgery were 25 cases in 228 patients, accounted for 10.9%, including haematoma and infections in 3 cases, recurrent laryngeal nerve injuries in 3 cases, superior laryngeal nerve injuries in 2 cases, tardive esophageal fistula in 1 case, spinal cord and/or nerve root injuries in 5 cases, cerebrospinal fluid leakages in 3 cases, graft extrusions partially in 3 cases, plate displacements in 2 cases, screw enter to intervertehral spaces in 2 cases and death in 1 case who suffered from pulmonary infection and respiratory failure. Conclusion： A thorough understanding of cervical anatomic structure, meticulous surgical technique and adequate preoperative preparation are necessary to prevent or avoid the complications related to anterior cervical spinal surgery.
出处
《新疆医科大学学报》
CAS
2007年第10期1164-1166,共3页
Journal of Xinjiang Medical University
关键词
颈椎
前路
手术
并发症
cervical vertehrae
anterior approach
surgery
complication
