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颈前路融合术中椎前筋膜缝合预防术后吞咽困难疗效探讨
引用本文:管旭日,杨六中,何秉辉,刘诗荣,陈继平.颈前路融合术中椎前筋膜缝合预防术后吞咽困难疗效探讨[J].徐州医学院学报,2013(11):750-752.
作者姓名:管旭日  杨六中  何秉辉  刘诗荣  陈继平
作者单位:徐州市中医院骨科,江苏徐州221000
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.

关 键 词:颈椎病  脊柱融合术  椎前筋膜  吞咽困难

Preventive effects of suturing prevertebral fascia in anterior cervical fusion on postoperative dysphagia
GUAN Xuri,YANG Liuzhong,HE Binghui,LIU Shirong,CHEN Jiping.Preventive effects of suturing prevertebral fascia in anterior cervical fusion on postoperative dysphagia[J].Acta Academiae Medicinae Xuzhou,2013(11):750-752.
Authors:GUAN Xuri  YANG Liuzhong  HE Binghui  LIU Shirong  CHEN Jiping
Institution:(Department of Orthopedics, Xuzhou Traditional Chinese Medicine Hospital, Xuzhou, Jiangsu 221000, China )
Abstract: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.
Keywords:cervical spondylosis  spinal fusion  cervical vertebral anadesma  dysphagia
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