脊髓型颈椎病前路手术早期并发症相关因素分析(附258例报告)

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (04): 450-453.

脊髓型颈椎病前路手术早期并发症相关因素分析(附258例报告)

王健, 梁芳果, 瞿东滨, 金大地

南方医科大学南方医院脊柱骨病外科, 广东, 广州, 510515

出版日期:2005-04-20 发布日期:2005-04-20
基金资助:
收稿日期:2004-7-24。
作者简介:王健(1979-),男,硕士研究生,医师,研究方向:脊柱外科,E-mail:wangjian7968@sina.com

Risk factor analysis of early complications following anterior spine surgery in 258 cases of cervical spondylotic myelopathy

WANG Jian, LIANG Fang-guo, QU Dong-bin, JIN Da-di

南方医科大学南方医院脊柱骨病外科, 广东, 广州, 510515

Online:2005-04-20 Published:2005-04-20

摘要/Abstract

摘要： 目的探讨影响颈椎病前路手术早期并发症发生的相关因素。方法回顾1992年1月~2003年12月间脊髓型颈椎病前路手术258例,选取性别、年龄、术式等指标进行统计,对其进行单因素筛选、多因素Logistic回归分析。结果共发生并发症19例(20例次),发生率为7.4%;单因素分析显示与颈椎前路手术早期并发症相关的主要因素有瘫痪情况和手术方式,多因素Logistic回归分析显示瘫痪情况是决定术后早期并发症发生的主要因素。结论瘫痪情况对颈椎病前路手术早期并发症有显著影响,做好患者围手术期处理可以降低术后早期并发症的发生率。

Abstract: Objective To define the possible risk factors for early complications following anterior surgery for cervical spondy- lotic myelopathy. Methods Two hundred and fifty-eight cases of cervical spondylotic myelopathy receiving anterior surgery between January 1992 and December 2003 were reviewed and the gender, age and other factors of the patients were analyzed with single-factor analysis and multiple logistic regression. Results Complications arising in the early stage after the surgery were found in 19 cases (20 events), with an incidence rate of 7.4%. Single-factor analysis showed that the two factors, paralysis and surgical approaches, were correlated with the early complications, and paralysis was identified as the major factor determining the occurrence of these complications by multiple logistic regression. Conclusion Paralysis is the major factor related to the occurrence of early complications following anterior surgery for cervical spondylotic myelopathy, which reiterates the importance of proper perioperative management.

中图分类号:

R681.5

王健, 梁芳果, 瞿东滨, 金大地. 脊髓型颈椎病前路手术早期并发症相关因素分析(附258例报告)[J]. 南方医科大学学报, 2005, 25(04): 450-453.

WANG Jian, LIANG Fang-guo, QU Dong-bin, JIN Da-di. Risk factor analysis of early complications following anterior spine surgery in 258 cases of cervical spondylotic myelopathy[J]. Journal of Southern Medical University, 2005, 25(04): 450-453.

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