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Updated: Jun 5, 2026

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Published on: May 26, 2023
[Risk factors for postoperative pulmonary complications following transoral operation for the atlanta-axis disorders]
Zheng-Tao Gu1, Jian-Qiang Dai, Qing-Shui Yin
1Orthopedic Intensive Care Unit, General Hospital of Guangzhou Military Command of People's Liberation Army, Guangzhou 510010, China.
Objective:
to evaluate the risk factors for postoperative pulmonary complications following transoral operation for the atlanta-axis disorders.
Methods:
total 104 cases were collected from January 2005 to June 2009. Twelve variables among patients with PPCs and without PPCs were analyzed by logistic regression analysis.
Results:
the incidence of postoperative pulmonary complications following transoral operation for the atlanta-axis disorders was 22.1% (23/104). There was significantly difference in 9 variables between patients with PPCs and without PPCs, and 5 variables as serum albumin < 35 g/L (OR = 15.185, P = 0.003), tracheotomy (OR = 32.254, P = 0.015), Frankle grade (OR = 8.866, P = 0.001), the duration of intubation > 4 d (OR = 7.934, P = 0.002), the duration of surgery > 6 h (OR = 16.889, P = 0.006) were found to be significantly related to the development to postoperative pulmonary complications by multivariate analysis.
Conclusion:
serum albumin < 35 g/L, tracheotomy, Frankle grade, the duration of intubation > 4 d, the duration of surgery > 6 h are the risk factors for postoperative pulmonary complications following transoral operation for the atlanta-axis disorders.
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