局解手术学杂志Issue(1)：14-16,17,4.DOI:10.11659/jjssx.06E014181
颈椎前路融合术后根据侧位X线评估椎前软组织肿胀的临床意义
Clinical significance of X-ray lateral radiograph for evaluating the postoperative prevertebral soft tissue swelling after anterior cervical fusion
摘要
Abstract
Objective To explore the relationship among the prevertebral soft tissue swelling, surgical extent, surgical segments, and complications and to investigate the clinical significance of lateral radiographs for evaluating the postoperative prevertebral soft tissue swelling. Methods 123 patients who underwent anterior cervical fusion with plate augmentation for cervical spondylosis were included in this study. The postoperative prevertebral soft tissue swelling was measured by lateral radiographs. The data were analysed according to surgical extent and surgical segments. Patients were divided into the swelling group (61cases, >9. 98 mm) and the non-swelling group (62 cases, <9. 98 mm) based on the degree of prevertebral soft tissue swelling. The incidences of complications, such as dyspnea and dysphagia, were ana-lysed. Results The rate of dyspnea was 21. 3% in swelling group, which was higher than 8. 1% in non-swelling group (P<0. 05). The rate of dysphagia was 83. 6% in swelling group, which was higher than 25. 8% in non-swelling group (P<0. 05). In addition, postoperative prevertebral soft tissue swelling was 8. 29 mm averagely after one-level fusion, which was less than that after two or more levels fusion (11. 55 mm and 10. 40 mm) (P<0. 05). Postoperative prevertebral soft tissue swelling was 10. 94 mm after high-level fusion (above C4), which was more than that low-level fusion (below C5) (8. 63 mm) (P<0. 05). Conclusion After anterior cervical fusion for cervical spondylosis, when the degree of prevertebral soft tissue swelling is greater the incidences of complications such as dyspnea and dysphagia might be higher. In addition, prevertebral soft tissue swelling increments are significantly greater in patients who had undergone multi-level or high-level fusion ( above C5 ) . Evaluation of prevertebral soft tissue swelling using lateral radiographs is a clinically meaningful procedure.关键词
颈椎前路融合术/椎前软组织肿胀/X线测量Key words
anterior cervical fusion/prevertebral soft tissue swelling/X-ray evaluating分类
医药卫生引用本文复制引用
马骏雄,项良碧,于海龙,陈语,王琪,刘军..颈椎前路融合术后根据侧位X线评估椎前软组织肿胀的临床意义[J].局解手术学杂志,2015,(1):14-16,17,4.基金项目
辽宁省科技攻关课题资助(201125041) （201125041）
