【摘要】：目的：探討頸前路單節(jié)段融合術(shù)后吞咽困難的危險因素。方法：將2011年1月～2013年6月頸前路單節(jié)段融合術(shù)后發(fā)生吞咽困難的44例患者臨床資料與同期術(shù)后未發(fā)生吞咽困難的213例患者的資料對比,應(yīng)用Logistic回歸分析比較兩組患者的一般資料(年齡、性別、民族、體質(zhì)指數(shù)、吸煙史、飲酒史、高血壓、糖尿病、病程長短、頸椎病類型)和圍手術(shù)期相關(guān)資料(術(shù)中失血量、內(nèi)固定因素、手術(shù)節(jié)段位置、手術(shù)時間、手術(shù)入路方向),推測可能導(dǎo)致術(shù)后吞咽困難的危險因素。結(jié)果：共納入行頸前路單節(jié)段融合術(shù)患者257例,術(shù)后隨訪6-24個月,發(fā)生吞咽困難44例,發(fā)生率17.1%,單因素分析顯示吞咽困難與性別、年齡、手術(shù)節(jié)段位置、病程長短相關(guān)；Logistic多因素回歸分析顯示性別(女性)、年齡(60歲)、手術(shù)節(jié)段位置(C4-5、C5-6)、病程長短(12月)為頸椎前路單節(jié)段融合術(shù)后吞咽困難的危險因素。結(jié)論：女性、高齡、手術(shù)節(jié)段位置為C4-5、C5-6以及術(shù)前病程長是頸椎前路單節(jié)段融合術(shù)后發(fā)生吞咽困難的危險因素。
[Abstract]:Objective: to investigate the risk factors of dysphagia after anterior cervical fusion. Methods: the clinical data of 44 patients with dysphagia after anterior cervical fusion from January 2011 to June 2013 were compared with those of 213 patients without dysphagia in the same period. Logistic regression analysis was used to compare the general data (age, sex, nationality, body mass index, smoking history, drinking history, hypertension, diabetes mellitus, duration of disease, type of cervical spondylosis) and perioperative related data (blood loss during operation) between the two groups. Internal fixation factors, position of operative segment, time of operation and direction of surgical approach were used to speculate the risk factors of dysphagia after operation. Results: 257 patients underwent anterior cervical segmental fusion, followed up for 6 months and 24 months, 44 patients with dysphagia occurred, the incidence rate was 17.1%. Univariate analysis showed dysphagia and sex, age, position of operative segment, the incidence of dysphagia was 17.1%, and the incidence of dysphagia was 17.1%. The course of disease is related; Logistic multivariate regression analysis showed that sex (female), age (60 years old), position of operative segment (C4 ~ 5, C _ 5 ~ 6) and course of disease (12 months) were risk factors for dysphagia after anterior cervical fusion. Conclusion: female, aged, C _ 4 ~ 5, C _ 5c _ 6 and long preoperative course of disease are risk factors for dysphagia after anterior cervical anterior single-segment fusion.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R653
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本文編號：2431718