| 328例颈椎前路手术并发症的分析 |
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摘要点击次数: 1923
全文下载次数: 1193
投稿时间：2001-08-14
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| 期刊信息：《中国骨伤》2002年，第15卷，第7期，第400-402页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:总结颈椎前路手术的并发症,分析原因并提出预防措施。
方法:1989年5月～2000年3月颈椎前路手术(减压+椎间融合术)328例,其中颈椎病175例,颈椎间盘突出症97例,颈椎骨折、脱位56例。
结果:随访6个月～11年(平均32个月),发生并发症38例,其中喉上神经损伤5例,喉返神经损伤4例,植骨块部分滑出5例,植骨不融合19例,BAK沉降3例,颈动脉窦综合征1例,睡眠性窒息1例。
结论:熟悉颈椎前路手术解剖,操作轻柔,植骨、内固定合理,可以减少或避免并发症的发生。 |
| 【关键词】颈椎 减压 并发症 |
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| Analysis of the complication of anterior approach for surgery of the cervical spine |
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ABSTRACT
Objective:To summarize the complications of anterior approach for cervical spinal surgery and analyse the causes and the method of prevention
Methods:From May 1989 and March 2000,328 cases of cervical spinal diseases were treated with anterior decompression and interbody fusion.There were 175 cases of cervical spondylosis,97 cervical disc herniation,56 cervical spinal fracture or dislocation.
Results:All of the cases have been followed up for 6 months to 11 years (average 32 months),there were 38 cases with complications:superior laryngeal nerve injury 5 cases,recurrent laryngeal nerve injury 4 cases,bone graft dislodgement 5 cases,bone graft non fusion 19 cases,BAK subsidence 3 cases,carotid sinus syncope 1 case and obstructive schlafen apnoe syndrome 1 case.
Conclusion:Familiarization of the cervical anatomy,careful manipulation,proper bone graft and internal fixation may reduce or avoid the complications. |
| KEY WORDS Cervical vertebrae Decompression Complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴琼华,陈正形,陈其昕,陈维善,徐少文,斯永乐.328例颈椎前路手术并发症的分析[J].中国骨伤,2002,15(7):400~402 |
| 英文格式: | WU Qiong hua,CHENZheng xing,CHEN Qi xin.Analysis of the complication of anterior approach for surgery of the cervical spine[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(7):400~402 |
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