颈椎前路手术后的气道并发症：病因及危险因素
Airway Complications After Anterior Cervical Spine Surgery: Etiology and Risk Factors.
作者信息
Colón Luis Felipe, Barber Lauren, Soffin Ellen, Albert Todd J, Katsuura Yoshihiro
机构信息
Department of Orthopaedic Surgery, University of Tennessee College of Medicine in Chattanooga, Chattanooga, TN, USA.
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
出版信息
Global Spine J. 2023 Oct;13(8):2526-2540. doi: 10.1177/21925682231160072. Epub 2023 Mar 9.
STUDY DESIGN
Narrative Review.
OBJECTIVE
To provide an overview of etiology and risk factors of airway complications after anterior cervical spine surgery (ACSS).
METHODS
A search was performed in PubMed and adapted for use in other databases, including Embase, Cochrane Library, Cochrane Register of Controlled Trials, Health Technology Assessment database, and NHS Economic Evaluation Database.
RESULTS
81 full-text studies were reviewed. A total of 53 papers were included were included in the review and an additional four references were extracted from other references. 39 papers were categorized as etiology and 42 as risk factors.
CONCLUSIONS
Most of the literature on airway compromise after ACSS is level III or IV evidence. Currently, there are no systems in place to risk-stratify patients undergoing ACSS regarding airway compromise or guidelines on how to manage patients when these complications do occur. This review focused on theory, primarily etiology and risk factors.
研究设计
叙述性综述。
目的
概述颈椎前路手术后气道并发症的病因及危险因素。
方法
在PubMed进行检索，并调整检索策略以适用于其他数据库，包括Embase、Cochrane图书馆、Cochrane对照试验注册库、卫生技术评估数据库和英国国家卫生服务体系经济评估数据库。
结果
共查阅81篇全文研究。本综述纳入了53篇论文，并从其他参考文献中提取了另外4篇参考文献。39篇论文归类为病因，42篇归类为危险因素。
结论
关于颈椎前路手术后气道受损的大多数文献为Ⅲ级或Ⅳ级证据。目前，尚无针对颈椎前路手术患者气道受损进行风险分层的系统，也没有关于这些并发症发生时如何管理患者的指南。本综述侧重于理论，主要是病因和危险因素。
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