颈前路椎体次全切术后椎前软组织肿胀的影像学研究  

Imaging study of soft tissue swelling after anterior cervical corpectomy

作　　者：马燕燕 桑裴铭[1] 陈斌辉[1] 张明[1] 顾仕荣[1] 方海名 MA Yan-yan;SANG Pei-ming;CHEN Bin-hui;ZHANG Ming;GU Shi-rong;FANG Hai-ming(Lihuili Hospital of Ningbo Medical Center,Ningbo 315040,Zhejiang,China)

机构地区：[1]宁波市医疗中心李惠利医院,浙江宁波315040

出　　处：《中国骨伤》2021年第7期650-654,共5页China Journal of Orthopaedics and Traumatology

基　　金：宁波市医学科技计划项目(编号:2017A44)。

摘　　要：目的:研究颈前路椎体次全切钛网植骨融合内固定术后椎前软组织肿胀的变化规律。方法:自2015年11月至2018年7月进行颈前路单一椎体次全切钛网植骨融合内固定术治疗脊髓型颈椎病患者151例,男109例,女42例;年龄44~81(59.77±8.34)岁。通过术后随访观察,测量C_2-C_7平面椎前间隙距离,评估椎前软组织肿胀变化规律。结果:151例患者术后均获得随访,时间15~40(28.00±3.52)个月。颈前路单一椎体次全切钛网植骨融合内固定手术后1周,椎前软组织肿胀达到高峰,随后出现椎前软组织肿胀减退,术后8个月时C_5、C_6、C_7平面椎前软组织肿胀恢复正常,术后12个月时C2、C3、C4平面椎前软组织恢复正常。结论:前路颈椎体次全切钛网植骨融合内固定手术后椎前软组织均会发生肿胀,术后1周内应高度重视患者椎前软组织肿胀的加重,避免吞咽困难、呼吸道梗阻、窒息等并发症的发生。Objective:To study the changes of anterior soft tissue swelling after anterior cervical subtotal corpectomy,titanium mesh fusion and internal fixation.Methods:From November 2015 to July 2018,151 patients with cervical spondylotic myelopathy were treated with anterior single corpectomy,titanium mesh fusion and internal fixation,including 109 males and 42 females,aged 44 to 81(59.77±8.34)years.Through postoperative follow-up observation,the C2-C7 level of anterior intervertebral space distance was measured to evaluate the changes of anterior soft tissue swelling.Results:All patients were followed up for 15 to 40(28.00±3.52)months.One week after the operation,the swelling of anterior soft tissue reached the peak,and then decreased.At 8 months after the operation,the swelling of anterior soft tissue on C5,C6 and C7 plane returned to normal.At 12 months after the operation,the swelling of anterior soft tissue on C2,C3 and C4 plane returned to normal.Conclusion:Anterior subtotal cervical corpectomy,titanium mesh bone graft fusion and internal fixation can cause swelling of the anterior soft tissue.One week after operation,we should pay more attention to the aggravation of the swelling of the anterior soft tissue to avoid the occurrence of dysphagia,respiratory obstruction,asphyxia and other complications.

关 键 词：颈椎病 脊柱融合术 手术后并发症 

分 类 号：R826.64[医药卫生—临床医学]