颈椎前路手术并发呼吸系统疾病的防治探讨

目的分析颈椎前路手术并发呼吸系统疾病的发生原因并总结防治措施。方法收集我院2007年3月～2010年3月98例颈椎前路手术病例,包括颈椎病49例、颈椎椎间盘突出症12例、颈椎骨折脱位34例、颈椎结核3例。结果 12位患者术后并发了呼吸系统疾病（12.24%）,包括肺部感染7例（7.14%）、颈部切口血肿2例（2.04%）、喉头水肿2例（2.04%）、呼吸骤停1例（1.02%）。结论颈椎前路手术可发生多种呼吸系统并发症,做好充分的术前准备,熟悉相关的颈前路解剖,严格规范操作以及良好的术后处理,是防治颈椎前路手术呼吸系统并发症的关键。

The evaluation on prevention and treatment of respiratory system complications in anterior cervical spine surgery

Objective To analysis the reasons of respiratory system complications in anterior cervical spine surgery, and summary the prevention and treatment measures. Methods From March 2007 to March 2010, a total of 98 patients with the anterior cervical operation. In these cases, 49 suffered from cervical spondylosis, 12 from cervical disc herniation, 34 from fracture of cervical, 3 from cervical tuberculosis. Results 12 respiratory system complications associated with surgerywere found, with an incidence of 12.24%. Including pulmonary infection in 7（7.14%））, pulmonary infection in 2（2.04%）, throat edema in 2（2.04%）, breathing stopping in 1（1.02%）. Conclusion Respiratory system complications may occur in the anterior cervical spine surgery. Adequate preoperative preparation, thorough understanding of anatomy related to the anterior approach, skilled surgical technique and perfect postoperative management are essential for preventing the respiratory system complications in anterior cervical spine surgery.