颈椎前路术术后吞咽困难的预防措施
刘景伟
海涌
康南
杨林
陈小龙
张硕
1.首都医科大学附属北京朝阳医院骨科, 北京,1000202.首都医科大学附属北京朝阳医院骨科, 北京,1000203.首都医科大学附属北京朝阳医院骨科, 北京,1000204.首都医科大学附属北京朝阳医院骨科, 北京,1000205.首都医科大学附属北京朝阳医院骨科, 北京,1000206.首都医科大学附属北京朝阳医院骨科, 北京,100020
摘要：Anterior cervical spine surgery ( ACSS ) is commonly used for the treatment of numerous cervical disorders, such as traumatic, degenerative and congenital diseases. Dysphagia is one of the most common complications after ACSS. The reported risk factors of dysphagia after ACSS included multilevel surgery, revision surgery, gender ( female ), prolonged operating time, age ( older than 60 y ), psychological problems, use of BMP or rhBMP, smoking, and change of C2-7 angle etc. Effective preventative measures included preoperative tracheal traction exercises, maintaining of the endotracheal tube cuff pressure at 20 mm Hg, not-prolonged operating time, improved skills of surgeons, non-smoking, avoided routine use of rhBMP-2, avoided overenlargement of cervical lordosis, decreased surgical levels, mastering of anatomy of the superior laryngeal nerve and recurrent laryngeal nerve, and applications of steroid, Zero-profile implant, Zephir plate, new cervical retractor.
关键词：颈椎外科手术手术后并发症吞咽障碍危险因素
分类号：R687.4(骨科学（运动系疾病、矫形外科学）)R619(外科手术学)
论文发表日期：2017-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 914-917 )
英文信息