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颈椎前路手术早期并发症及防范措施

江兵 朱成润 曹燕庆 潘宏 陶岳峰 刘金锐 蒋仁义 陈诚

疑难病杂志Issue(1):67-69,3.
疑难病杂志Issue(1):67-69,3.DOI:10.3969/j.issn.1671-6450.2014.01.024

颈椎前路手术早期并发症及防范措施

Prevention and treatment of early complications of anterior cervical surgery

江兵 1朱成润 1曹燕庆 1潘宏 1陶岳峰 1刘金锐 1蒋仁义 1陈诚1

作者信息

  • 1. 246003 安庆,安徽医科大学附属安庆医院骨科
  • 折叠

摘要

Abstract

Objective To analyse the reasons of early complications of anterior cervical surgery ,and explore its pre-ventive measures .Methods From January 2008 to August 2013 , using the anterior surgical treatment in 253 cases of cervi-cal disease ,including respectively anterior cervical decompression plate and titanium mesh or fusion , anterior cervical decom-pression and homeostatic model cervical fusion , anterior odontoid screw fixation , anterior decompression and plate iliac bone graft to increase the block.Results 253 cases were followed up for 3 to 12 months, with a median 7 months.Early surgery-related complications were found in 24 cases, the incidence was 9.49%.Among them, laryngeal nerve injury in 4 cases, 3 cases of recurrent laryngeal nerve injury , take the bone area intractable pain in 5 cases, 4 cases of dysphagia , neck hematoma in 2 cases,implant iliac shift 1 case, plate and screw loosening 5 cases .Conclusion Adequate preoperative preparation , master a variety of anterior cervical fixation devices to select the best of the best indications and surgical methods , and firmly grasp the underlying anatomical knowledge and surgical techniques is to reduce the anterior neck surgical early complications .

关键词

颈椎手术/前路手术/并发症

Key words

Cervical vertebrae surgery/Anterior surgery/Complications

引用本文复制引用

江兵,朱成润,曹燕庆,潘宏,陶岳峰,刘金锐,蒋仁义,陈诚..颈椎前路手术早期并发症及防范措施[J].疑难病杂志,2014,(1):67-69,3.

基金项目

安徽医科大学基金项目 ()

疑难病杂志

OACSTPCD

1671-6450

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