摘要
目的 分析颈椎退行性疾病前路手术后住院时间(LOS)延长的影响因素.方法 2018年1月-2022年1月嘉定区中医医院及海军军医大学长征医院采用颈椎前路手术治疗颈椎退行性疾病患者241例.收集患者的基本情况、手术情况及术后情况相关参数,并通过相关分析探索影响LOS与术后LOS的因素.结果 根据术式分组,颈椎前路椎体次全切除融合术(ACCF)组与颈椎前路椎间盘切除融合术(ACDF)组LOS与术后LOS差异无统计学意义(P＞0.05);2组疾病诊断、手术节段、手术时间、出血量、引流时间、第1天引流量及第2天引流量差异均有统计学意义(P＜0.05).根据疾病诊断分组,脊髓型颈椎病(CSM)组LOS、术后LOS显著长于神经根型颈椎病(CSR)组,差异均有统计学意义(P＜0.05).相关分析结果显示,疾病诊断、糖尿病、手术时间、出血量、ICU治疗与LOS及术后LOS存在相关性.结论 CSM患者的LOS、术后LOS显著长于CSR患者.此外,合并糖尿病、手术时间长、出血量大、ICU治疗可能是LOS、术后LOS延长的影响因素.
Abstract
Objective To analyze the influencing factors for length of stay(LOS)after anterior approach surgery for cervical degenerative diseases.Methods From January 2018 to January 2022,241 patients with cervical degenerative diseases were treated with anterior cervical surgery at the Jiading Hospital of Traditional Chinese Medicine and the Changzheng Hospital of Naval Medical University.The basic information,surgical conditions,and postoperative parameters of patients were collected,and the factors affecting LOS and postoperative LOS were explored through relevant analysis.Results According to the grouping of surgical procedures,there was no statistically significant difference in LOS and postoperative LOS between the anterior cervical corpectomy and fusion(ACCF)group and the anterior cervical discectomy and fusion(ACDF)group(P＞0.05);and the 2 groups showed statistically significant differences in disease diagnosis,surgical segment,operation time,blood loss,drainage time,first day drainage volume,and second day drainage volume(P＜0.05).According to the grouping of disease diagnosis,the LOS and postoperative LOS of the cervical spondylotic myelopathy(CSM)group were significantly longer than those of the cervical spondylotic radiculopathy(CSR)group,and the differences were statistically significant(P＜0.05).The results of correlation analysis showed that disease diagnosis,diabetes,operation time,blood loss,ICU treatment were correlated with LOS and postoperative LOS.Conclusions The LOS and postoperative LOS of CSM patients are significantly longer than those of CSR patients.In addition,with diabetes,long operation time and large amount of blood loss,ICU treatment may be the influencing factor for LOS and postoperative LOS extension.
基金项目
上海申康医院发展中心临床科技创新项目(SHDC12016214)
维普
万方数据