Erickson Mark, Fites Brandon S, Thieken Michael T, McGee Alan W
Nellis Air Force Base, Las Vegas, Nevada, USA.
Am J Orthop (Belle Mead NJ). 2007 Aug;36(8):429-32.
The study reported here examined patient safety and satisfaction in 56 patients with cervical radiculopathy secondary to foraminal stenosis or a herniated disc who underwent a total of 58 outpatient anterior cervical discectomy and fusion (ACDF) procedures with iliac crest bone graft or fibular allograft. Patients were discharged 0.8 hour to 6.5 hours (mean, 2.4 hours) after surgery and received 3 home health care visits over 24 hours. Of the 45 satisfaction questionnaires that were completed, 43 (95.6%) indicated patients were satisfied or very satisfied with the surgery, and 35 (77.8%) indicated patients would have the procedure performed on an outpatient basis again. Eleven (19.6%) of the 56 patients did not respond to a satisfaction questionnaire. Outpatient ACDF has high patient satisfaction but does not compromise patient safety.
本研究对56例因椎间孔狭窄或椎间盘突出继发神经根型颈椎病的患者进行了调查，这些患者共接受了58例门诊前路颈椎间盘切除融合术（ACDF），术中采用了髂嵴骨移植或腓骨同种异体移植。患者术后0.8小时至6.5小时（平均2.4小时）出院，并在24小时内接受了3次家庭医疗护理访视。在完成的45份满意度调查问卷中，43份（95.6%）表明患者对手术满意或非常满意，35份（77.8%）表明患者愿意再次接受门诊手术。56例患者中有11例（19.6%）未回复满意度调查问卷。门诊ACDF患者满意度高，但不影响患者安全。
