颈前路单节段融合术后吞咽困难的危险因素分析

发布时间：2019-02-28 10:01

【摘要】：目的：探讨颈前路单节段融合术后吞咽困难的危险因素。方法：将2011年1月～2013年6月颈前路单节段融合术后发生吞咽困难的44例患者临床资料与同期术后未发生吞咽困难的213例患者的资料对比,应用Logistic回归分析比较两组患者的一般资料(年龄、性别、民族、体质指数、吸烟史、饮酒史、高血压、糖尿病、病程长短、颈椎病类型)和围手术期相关资料(术中失血量、内固定因素、手术节段位置、手术时间、手术入路方向),推测可能导致术后吞咽困难的危险因素。结果：共纳入行颈前路单节段融合术患者257例,术后随访6-24个月,发生吞咽困难44例,发生率17.1%,单因素分析显示吞咽困难与性别、年龄、手术节段位置、病程长短相关；Logistic多因素回归分析显示性别(女性)、年龄(60岁)、手术节段位置(C4-5、C5-6)、病程长短(12月)为颈椎前路单节段融合术后吞咽困难的危险因素。结论：女性、高龄、手术节段位置为C4-5、C5-6以及术前病程长是颈椎前路单节段融合术后发生吞咽困难的危险因素。
[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.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R653
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本文编号：2431718