Department of Physical Medicine and Rehabilitation, Chung-Ang University, College of Medicine, 224-1 Heuk-suk dong, Dong-jak gu, Seoul 156-755, Korea.
J Clin Neurosci. 2011 Oct;18(10):1369-73. doi: 10.1016/j.jocn.2011.02.033. Epub 2011 Jul 27.
The present study aimed to determine the risk factors for dysphagia after anterior cervical spinal surgery. We reviewed clinical records of 45 patients after anterior cervical spinal surgery to identify the factors that influence dysphagia symptoms, and followed up the symptoms using a one-on-one telephone survey. The risk of dysphagia was greater in the anterior cervical discectomy and fusion group than in the anterior artificial disc insertion group, and in the group who underwent multi-level rather than single-level surgery. There were greater differences in prevertebral soft tissue thickness within 48 hours of surgery in patients with dysphagia than in patients without dysphagia at 1 month, 3 months, and 6 months after surgery, but these differences were not significant. The risk of dysphagia was significantly higher in patients who had their highest operative levels at C3 or C4 compared to those with their highest levels at C5 to C7.
本研究旨在确定颈椎前路手术后吞咽困难的危险因素。我们回顾了 45 例颈椎前路手术后患者的临床资料，以确定影响吞咽困难症状的因素，并通过一对一的电话调查对症状进行随访。与前路人工椎间盘置换组相比，前路颈椎间盘切除融合组的吞咽困难风险更高，多节段手术组比单节段手术组的风险更高。术后 1 个月、3 个月和 6 个月，有吞咽困难的患者手术 48 小时内的椎前软组织厚度比无吞咽困难的患者差异更大，但差异无统计学意义。与最高手术节段在 C5 到 C7 的患者相比，最高手术节段在 C3 或 C4 的患者吞咽困难的风险显著更高。
