与颈椎前路手术相关的围手术期并发症： 史密斯-罗宾逊方法
摘要
致这些并发症的任何风险因素；特别是吞咽困难，因为它是最常见的围手术期并发症，并阐明这些并发症的预后，
以及它们的适当处理。这是一项回顾性病例对照研究，包括2018年1月1日至2021年12月15日期间在叙利亚拉塔
基亚的Tishreen大学医院接受右侧颈椎前路介入治疗的109名患者。收集有关性别、年龄、诊断（神经根病或脊髓
病）、手术程序、水平数、钢板添加、吸烟、糖尿病和手术期间发生的围手术期并发症的数据，并在接下来的 14 天
随访中发生。男：女比例为（1.4：1），30.3% 的病例来自一组（41-50）岁。脊髓病占 56%，颈前路椎间盘切除融
合术（ACDF）占47.7%。一级干预在52%的案例中代表最高百分比。围手术期并发症发生率为12.8%；分为吞咽
困难6.4%、喉返神经（RLN）损伤、浅表感染各1.8%、硬脑膜撕裂、压迫性血肿、神经功能恶化各0.9%。钢板加
装、3级或以上干预以及（ACDF P）或（ACCF）手术均被确定为围手术期吞咽困难的危险因素。颈椎前路手术
的大多数围手术期并发症都很轻微，可以保守治疗，预后良好。通过适当的管理及早识别这些并发症对于改善结
果至关重要。钢板加装、3级或以上干预以及（ACDF P）或（ACCF）手术均被确定为围手术期吞咽困难的危险
因素。
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