摘要
目的观察脊髓型颈椎病病人前路手术减压术后并发症的发生情况,分析并发症产生的原因,提出防治措施。方法随访120例采取颈椎前路手术减压的脊髓型颈椎病病人。其中采用自体减压碎骨植骨融合、钛网植入、锁定钛板固定者60例;自体髂骨植骨融合、锁定钛板固定者60例。结果发生并发症8例,发生率6.7%。其中切口感染1例,硬膜外血肿1例,喉上神经损伤1例,喉返神经损伤2例,脊髓损伤加重1例,螺钉松动移位并钛网下沉1例,钛网下沉并颈椎畸形1例。结论颈椎前路手术解剖结构复杂多变,手术视野小,操作难度大,易出现并发症。出现并发症及时诊断和处理,可预防瘫痪、死亡等严重后果的发生。
Objective To investigate the complications of anterior approach （AA） for cervical spondylotic myelopathy （CSM） and analyze the causes of the complications and the measures of prevention. Methods A follow-up was carried out in 120 patents who underwent AA surgery for CSM, of whom, auto-decompression and bone shiver grafting, titanium net implantation or titanium-plate fixation was done in 60 cases; autogenous iliac bone fusion, titanium plate implantation or fixation in 60 cases. Results Complications were recorded in eight cases （6.7%0）, which included infection of incisional wound （one case）, epidural he- matoma （one）, superior laryngeal nerve injury （one）, recurrent laryngeal nerve injury （two）, spinal cord injury aggravation （one）, cinch of screw, and titanium net sinking accompanying C-spine deformity （one）. Conclusion The anatomic structure is complicated and changeable in AA procedures, the field of vision is small and difficult in manipulation, which is the reason easy to cause complications. In-time confirmation and treatment of the complications can prevent the serious outcome such as palsy and death.
出处
《齐鲁医学杂志》
2012年第6期513-515,共3页
Medical Journal of Qilu
关键词
颈椎病
减压术
外科
手术后并发症
cervical spondylosis
decompression, surgical
postoperative complications
