颈椎前路椎间盘切除融合术后早期吞咽困难：一家中心的经验
Early dysphagia following anterior cervical discectomy and fusion: a centre experience.
作者信息
Aljohani Hani, Alashkar Abdulrahman H, Abdulazim Mohamed, Alsequab Yasser, Algaman Eid, Alyahya Almunthir, Alhujilan Sultan, Alaboodi Faisal Ahmad
机构信息
College of Medicine, Qassim University, Qassim, Saudi Arabia.
Department of Surgery, Dr. Sulaiman Al-Habib Medical Group, Buraidah, Qassim, Saudi Arabia.
出版信息
BMC Res Notes. 2025 Apr 11;18(1):162. doi: 10.1186/s13104-025-07215-1.
OBJECTIVE
Anterior cervical discectomy and fusion (ACDF) is a commonly performed surgical procedure in patients with cervical spine radiculopathy and/or myelopathy. It's considered safe, but one of its most common complications is postoperative dysphagia, which can negatively impact the patient's quality of life, and increase health costs. In this study, we discuss our experience with post-ACDF dysphagia (PAD) in terms of incidence, risk factors and approach to management.
RESULTS
In total, 196 eligible patients were included with a mean age of 50.38 years (SD = 11.18); 107 patients (54.6%) were males, and 89 (45.4%) were females. The incidence of PAD was 5.6% (11/196 patients). No significant association could be found between the development of PAD and the assessed patient-related factors (age, gender, body mass index, and comorbidities) nor surgical factors (number of operated levels, use of anterior plate, operative time).
目的
颈椎前路椎间盘切除融合术（ACDF）是治疗颈椎神经根病和/或脊髓病患者常用的外科手术。该手术被认为是安全的，但其最常见的并发症之一是术后吞咽困难，这会对患者的生活质量产生负面影响，并增加医疗成本。在本研究中，我们从发病率、危险因素和管理方法等方面讨论了我们对ACDF术后吞咽困难（PAD）的经验。
结果
总共纳入了196例符合条件的患者，平均年龄为50.38岁（标准差=11.18）；107例患者（54.6%）为男性，89例（45.4%）为女性。PAD的发生率为5.6%（11/196例患者）。在PAD的发生与评估的患者相关因素（年龄、性别、体重指数和合并症）以及手术因素（手术节段数、使用前路钢板、手术时间）之间未发现显著关联。
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