Opsenak R, Kolarovszki B, Benco M, Richterová R, Snopko P, Varga K, Hanko M
Rozhl Chir. 2019 Winter;98(3):115-120.
Dysphagia is a common finding after anterior cervical discectomy. The incidence and severity of swallowing disorders are variable and depend on many factors.
73 patients after 1- or 2-level anterior cervical discectomy and fusion /ACDF/ were enrolled in prospective, single-center study. The severity of dysphagia was evaluated by the Bazaz-Yoo dysphagia score before surgery and 6 weeks, 3, 6 and 12 months after surgery. The impact of factors such as sex, age, number of operated segments, smoking, gastroesophageal reflux disease, hypertension, duration of surgery and pre-existing dysphagia on the incidence of dysphagia after surgery was verified. The correlation between the duration of surgery and severity of postoperative dysphagia, and similarly between the age and severity of preoperative and postoperative dysphagia was studied.
Dysphagia was present in 22% patients within 12 months after surgery. No patient reported severe dysphagia. No significant relationship was demonstrated between sex, age, number of operated segments, pre-existing dysphagia, gastroesophageal reflux disease, hypertension and the incidence of dysphagia after surgery. Smokers showed a significantly lower incidence of dysphagia before surgery and within 12 months after ACDF (p.
吞咽困难是颈椎前路椎间盘切除术后常见的表现。吞咽障碍的发生率和严重程度各不相同，取决于多种因素。
73例行单节段或双节段颈椎前路椎间盘切除融合术（ACDF）的患者纳入了一项前瞻性单中心研究。术前以及术后6周、3个月、6个月和12个月，采用巴扎兹-柳吞咽困难评分评估吞咽困难的严重程度。验证了性别、年龄、手术节段数、吸烟、胃食管反流病、高血压、手术时长和术前存在的吞咽困难等因素对术后吞咽困难发生率的影响。研究了手术时长与术后吞咽困难严重程度之间的相关性，以及年龄与术前和术后吞咽困难严重程度之间的相关性。
22%的患者在术后12个月内出现吞咽困难。无患者报告严重吞咽困难。性别、年龄、手术节段数、术前存在的吞咽困难、胃食管反流病、高血压与术后吞咽困难发生率之间未显示出显著相关性。吸烟者术前及ACDF术后12个月内吞咽困难的发生率显著较低（p.
