颈椎前路内固定手术并发症分析Analysis of surgical complications in cervical anterior internal fixation
王乐;刘少喻;梁春祥;魏富鑫;韩国伟;
摘要(Abstract)：
[目的]探讨颈椎前路内固定手术相关并发症发生原因,并提出对策和预防措施。[方法]回顾性分析自2003年1月～2011年12月本科行颈椎前路内固定手术并获随访患者共239例,其中男155例,女84例,年龄12～85岁。患病种类包括颈椎骨折脱位47例(19.67%),肿瘤6例(2.51%),颈椎结核3例(1.26%),颈椎病183例(76.56%)。对手术所发生的并发症进行总结分析。[结果]239例患者中发生术中和术后并发症共计12例(5.02%),男7例,女5例,内固定松脱或位置不佳共6例(包括外院2例),发生率2.51%;喉返神经损伤1例,发生率0.42%;肺部感染1例;血肿形成1例;食道瘘1例;脑脊液漏1例;泌尿系感染1例。内固定相关并发症及时翻修,均预后良好;术后发生食道瘘1例,及时发现后行修补术,清创后再行胃造瘘术,食道造影确认愈合后拔除造瘘管,患者恢复良好。术后发生喉返神经损伤患者1例经过激素、脱水等药物保守治疗,术后1个月内恢复至正常;1例患者术后脑脊液漏并囊肿形成,穿刺抽液联合抗生素保守治疗痊愈。[结论]颈椎前路内固定有其特殊性,术前充分准备,术中熟练规范操作,个体化评估和诊治是避免并发症发生的关键。
关键词(KeyWords)： 颈椎;内固定;并发症
基金项目(Foundation):
作者(Author): 王乐;刘少喻;梁春祥;魏富鑫;韩国伟;
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DOI:
参考文献(References)：
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