[The incidence and causes of Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia].

医学 吞咽困难 外科 气管插管 插管 入射(几何) 全身麻醉 舌头 麻醉 射线照相术 物理 病理 光学
作者
F J Meng,J Y Jin,Y Sun,Y B Zhao,Feifei Zhou,Xuan-Long Chen,Y Z Diao
出处
期刊:PubMed 卷期号:102 (9): 666-670
标识
DOI:10.3760/cma.j.cn112137-20210911-02075
摘要

Objective: To observe the incidence of Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia and to explore the risk factors for its occurrence. Methods: The data of patients suffered from Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia from June 2018 to May 2021 were retrospectively reviewed. The type of procedure, surgeon, age and gender were selected as matching factors, 4 patients without Tapia syndrome were selected as control group for each case. The radiological parameters including mandibular-vertebral distance, thyroid-vertebral distance, thyroid cartilage-vertebral distance, and C2-C7 lordotic Cobb angle were measured on lateral radiographs of the cervical spine. The above parameters were measured on neutral, over-flexion and over-extension radiographs. The difference between the Tapia group and the control group were analyzed. Results: There were 9 patients (0.37%) suffered from Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia in 2 431 patients, and it happened in 0.67 days (0-2 days) after the operation. There were 3 males and 6 females with a mean age of (61±5) years. The clinical manifestations was tongue extension deviation in 8 cases (88.9%), dysarthria in 6 cases (66.7%), dysphagia in 3 cases (33.3%), tongue stiffness in 3 cases (33.3%), hoarseness in voice and pharyngeal discomfort in 1 case (11.1%). All of the symptoms were relieved in all patients at 3 months postoperative follow-up. In neutral position, the mandibular-vertebral distance was (7.19±3.96) mm in the control group and it was (3.98±3.01) mm in Tapia group (P<0.05). From neutral position to hyperflexion position, the distance between mandible and vertebral body was reduced from 3.98 mm to 1.95 mm in the Tapia group and decreased for 51.0%, and it decreased from 7.19 mm for 31.8% to 4.90 mm in the control group. Conclusions: The incidence of Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia is low. A smaller mandibular-vertebral distance on pre-operative cervical spine lateral view radiograph maybe a risk factor for Tapia syndrome after posterior cervical surgery under oral tracheal intubation general anesthesia.目的: 分析全身麻醉经口气管插管下行颈椎后路手术后出现Tapia综合征的发生率及相关的危险因素。 方法: 回顾性分析2018年6月至2021年5月北京大学第三医院骨科在全身麻醉经口气管插管下行颈椎后路手术后出现Tapia综合征的脊髓型颈椎病和颈椎后纵韧带骨化症患者的临床资料。选取相同手术类型、主刀医生、年龄及性别作为匹配因素,每个病例选择4例未发生Tapia综合征的患者作为对照组。在颈椎侧位X线片上测量下颌骨-椎体距离、舌骨-椎体距离、甲状软骨-椎体距离、C2-C7前凸Cobb角。分别在中立位、过屈位和过伸位X线片上测量上述参数。分析发病组及对照组在上述参数的差异。 结果: 在2 431例全身麻醉经口气管插管下行颈椎后路手术患者中,9(0.37%)例出现Tapia综合征,其中男3例,女6例,年龄(61±5)岁,症状平均发生在术后0.67 d(0~2 d)。临床表现为:伸舌偏移8例(8/9,88.9%),构音障碍6例(6/9,66.7%),吞咽困难3例(3/9,33.3%),舌头不灵活3例(3/9,33.3%),声音嘶哑及咽部不适各1例(1/9,11.1%)。所有患者在术后3个月复查时,上述所有症状均缓解。颈椎中立位时,下颌骨-椎体前缘的距离对照组为(7.19±3.96)mm,Tapia组为(3.98±3.01)mm,差异有统计学意义(P<0.05)。下颌骨-椎体距离由中立位至过屈位时:Tapia组由3.98 mm降至1.95 mm,降幅为51.0%,而对照组由7.19 mm降至4.90 mm,降幅为31.8%。 结论: 经口气管插管全身麻醉下颈后路术后Tapia综合征发生率低。术前中立位颈椎X线片下颌骨-椎体前缘距离较小可能是经口气管插管全身麻醉下颈后路术后发生Tapia综合征的危险因素。.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
STUSSY完成签到,获得积分10
刚刚
wuhuofeng发布了新的文献求助10
1秒前
2秒前
3秒前
3秒前
coco完成签到,获得积分10
4秒前
lshao完成签到 ,获得积分10
5秒前
5秒前
zhou发布了新的文献求助30
6秒前
跋扈完成签到,获得积分10
8秒前
温柔翰发布了新的文献求助10
8秒前
8秒前
Jj发布了新的文献求助10
9秒前
ficus_min发布了新的文献求助10
9秒前
木子发布了新的文献求助10
10秒前
Galato发布了新的文献求助10
10秒前
寒冷哈密瓜完成签到 ,获得积分0
10秒前
大模型应助shen采纳,获得10
11秒前
123566完成签到,获得积分10
11秒前
hohn完成签到,获得积分10
11秒前
科研通AI2S应助bsn采纳,获得10
13秒前
LL发布了新的文献求助10
13秒前
张西西完成签到 ,获得积分10
14秒前
研友_ZAxj7n完成签到,获得积分20
16秒前
海上钢琴家完成签到,获得积分10
16秒前
日富一日完成签到,获得积分10
16秒前
大妙妙完成签到 ,获得积分10
16秒前
1111完成签到 ,获得积分10
17秒前
zhong完成签到,获得积分10
17秒前
Zsx完成签到,获得积分10
18秒前
19秒前
无辜念文完成签到,获得积分10
20秒前
Xx完成签到,获得积分10
21秒前
arcremnant完成签到,获得积分10
21秒前
星辰完成签到,获得积分10
21秒前
量子星尘发布了新的文献求助10
22秒前
allenice完成签到,获得积分10
22秒前
23秒前
xwz2025发布了新的文献求助10
23秒前
24秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038524
求助须知:如何正确求助?哪些是违规求助? 3576221
关于积分的说明 11374737
捐赠科研通 3305912
什么是DOI,文献DOI怎么找? 1819354
邀请新用户注册赠送积分活动 892688
科研通“疑难数据库(出版商)”最低求助积分说明 815048