Bryan人工颈椎间盘置换术对气道的影响

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英文篇名：Airway changes after Bryan cervical intervertebral disk replacement 作者：袁宁 ; 田伟 ; 刘波 ; 聂岩 英文作者：YUAN Ning;TIAN Wei;LIU Bo;NIE Yan;Department of Spine Surgery,Beijing Jishuitan Hospital; 关键词：颈椎前路手术 ; 人工颈椎间盘置换术 ; 气道 ; Bryan人工颈椎间盘 英文关键词：Anterior cervical operation;;Cervical intervertebral disk replacement;;Airway compromise;;Bryan cervical artificial intervertebral disk 中文刊名：GGJS 英文刊名：Chinese Journal of Bone and Joint Injury 机构：北京积水潭医院脊柱外科; 出版日期：2019-03-15 出版单位：中国骨与关节损伤杂志 年：2019 期：v.34 基金：北京市医院管理局使命人才计划(SML20150401) 语种：中文; 页：GGJS201903001 页数：4 CN：03 ISSN：11-5265/R 分类号：7-10

摘要

目的研究Bryan人工颈椎间盘置换术对各C_(2～7)椎体水平气道的影响程度。方法纳入自2014-01—2016-03完成的138例单节段Bryan人工颈椎间盘置换术。采用Efilm软件测量颈椎中立侧位X线片上椎前值和椎体值。比较C_(2～7)术前与术后椎前椎体比值,C_(2～7)椎前椎体比值差值比,以及不同手术节段C_(2～7)椎前椎体比值差值比。结果术后C_(2～7)椎前椎体比值均较术前明显增加,差异有统计学意义(P<0.05)。C_(2～7)椎前椎体比值差值比差异有统计学意义(P<0.05),其中C_3及C_4椎体水平椎前椎体比值差值比最大。不同手术节段C_(2～4)椎前椎体比值差值比差异有统计学意义(P<0.05),且C_(3、4)>C_(4、5)>C_(5、6)>C_(6、7);不同手术节段C_5及C_6椎前椎体比值差值比差异无统计学意义(P>0.05);不同手术节段C_7椎前椎体比值差值比差异有统计学意义(P<0.05),且C_(3、4)0.05)。结论单节段Bryan人工颈椎间盘置换术后气道前移,不同椎体水平气道受不同节段手术的影响程度不一致,C_3、C_4椎前气道受手术影响最大。
        Objective To investigate radiological airway changes of C_(2～7) after Bryan cervical intervertebral disk replacement.Methods One hundred thirty-eight patients who were operated with single-level Bryan cervical intervertebral disk replacement from January 2014 to March 2016 were enrolled.Measurements were taken of the vertebral and prevertebral values with Efilm software.Significances were tested of the followings:pre-and postoperative ratio of prevertebral and vertebral values(RPVV) of C_(2～7),postoperative change ratios of RPVV(PCR-RPVV) of C_(2～7),PCR-RPVV of C_(2～7) with different operative levels.Results The postoperative RPVV was higher than the preoperative RPVV(P<0.05).The average PCR-RPVV was calculated with the greatest difference located at C_(3) and C_4(P<0.05).The effects of different operative levels on the PCR-RPVV,the PCR-RPVV of C_(2～4) were significance by operative levels:C_(3,4)>C_(4,5)>C_(5,6)>C_(6,7)(P<0.05);The PCR-RPVV of C_(5) and C_(6) were not significance by operative levels(P>0.05);The PCR-RPVV of C_(7) was significance by operative levels:C_(3,4)0.05).Conclusion There is significant airway front shift after single-level Bryan cervical intervertebral disk replacement.Airway of each level is influenced differently by each operation level.The airway in front of C_(3) and C_(4) is influenced the most by operation.

引文

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