摘要
目的 探讨颈椎病多节段颈前路手术中缝合椎前筋膜对患者术后吞咽困难的影响.方法 颈前路融合术患者113例,分为缝合组59例、未缝合组54例.分别于术前及术后第2天、3个月、6个月及末次随访（12个月）时,采用Bazaz吞咽困难分级及改良吞咽障碍特异性生活质量量表（SWAL-QOL）评估患者吞咽困难的发生情况.结果 术后第2天、3个月,未缝合组患者吞咽困难发生率明显高于缝合组患者,未缝合组SWAL-QOL评分明显低于缝合组.结论 术中椎前筋膜缝合及恢复正常生理间隙,避免前路内置物与食管直接接触,可有效降低术后吞咽困难发生.
Objective To investigate the effects of suturing prevertebral fascia on postoperative dysphagia of patients who suffer from muhisegmental cervical spondylosis and receive anterior cervical fusion. Methods From June 2009 to June 2012, 113 patients undergoing anterior cervical fusion were divided into a suture group （59 cases） and a non -su- ture group （54 cases）. During follow - up visits prior to and after operation, dysphagia were assessed according to the Bazaz dysphagia score and the Swallowing Quality - of - life Questionnaire （ SWAL - QOL）. Results One day and three months after operation, the non - suture group showed a significantly higher incidence of dysphagia but a remarkably low- er SWAL - QOL score than the suture group. Conclusion Suturing prevertebral fascia to recover physiological space can avoid direct contact between the implants and the esophagus, greatly reducing postoperative dysoha^ia.
出处
《徐州医学院学报》
CAS
2013年第11期750-752,共3页
Acta Academiae Medicinae Xuzhou
关键词
颈椎病
脊柱融合术
椎前筋膜
吞咽困难
cervical spondylosis
spinal fusion
cervical vertebral anadesma
dysphagia
