颈椎前路手术早期并发症危险因素分析

发布时间：2018-04-25 02:37

本文选题：颈椎前路减压手术 + 并发症　；参考：《中国骨与关节损伤杂志》2016年03期

【摘要】：目的探讨颈椎前路手术早期并发症危险因素,为防治颈椎前路手术早期并发症提供科学依据。方法回顾性分析自2010-01—2014-12新疆医科大学第六附属医院诊治的103例颈椎前路手术,采用单因素分析性别、年龄、民族、病程、瘫痪情况、术前合并症、手术方法、手术节段、麻醉方式、手术时间、出血量、病种等指标,采用Logistic回归分析对发生颈椎前路手术早期并发症的危险因素进行分析。结果本组103例术后随访3~24个月,平均16个月。103例中发生并发症12例,发生率为11.65%。单因素分析发现,病种(χ2=28.540,P0.001)、瘫痪情况(χ2=19.529,P0.001)、术前合并症(χ2=11.936,P=0.001)、手术方法 (χ2=12.718,P=0.005)与术后早期并发症的发生有关。对病种、瘫痪情况、术前合并症、手术方法 4个因素进行多因素Logistic回归分析,结果显示患者的瘫痪情况和手术方法是影响颈椎前路手术早期并发症发生的独立危险因素(P0.05)。结论颈椎前路手术时应严格把握手术适应证,根据患者个体情况选择适当的手术方式,从而避免或减少患者术后并发症的发生。
[Abstract]:Objective to explore the risk factors of early complications of anterior cervical surgery and to provide scientific basis for prevention and treatment of early complications of anterior cervical surgery. Methods A retrospective analysis of 103 cases of anterior cervical vertebrae surgery from 2010-01-2014-12 in the sixth affiliated Hospital of Xinjiang Medical University was performed. Single factor analysis was used to analyze sex, age, nationality, course of disease, paralysis, preoperative complications, surgical methods and surgical segments. Logistic regression analysis was used to analyze the risk factors of early complications of anterior cervical surgery. Results among 103 cases, 12 cases (11.65%) were followed up for 3 ~ 24 months (mean 16 months. 103 cases). Univariate analysis showed that the type of disease (蠂 2 = 28.540 / P 0.001), paralysis (蠂 ~ 2 = 19.529 / P 0.001), preoperative complications (蠂 ~ 2 = 11.936 / P = 0.001) and operative method (蠂 ~ 2 = 12.718 / P ~ 0.005) were associated with the occurrence of early postoperative complications. Multivariate Logistic regression analysis was carried out on the four factors of disease, paralysis, preoperative complications and surgical methods. The results showed that the paralysis and surgical methods were independent risk factors affecting the occurrence of early complications of anterior cervical surgery (P 0.05). Conclusion the indication of anterior cervical vertebra operation should be strictly grasped and the appropriate operation method should be chosen according to the individual condition of the patients so as to avoid or reduce the postoperative complications.
【作者单位】：新疆医科大学第六附属医院脊柱外科;新疆医科大学第六附属医院骨科;
【分类号】：R687.3

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