Abstract: 【Abstract】 Objective To investigate the risk factors and causes of cervical reoperation. Methods From May 2005 to May 2015 in the First Affiliated Hospital of Sun Yat?sen University, 1043 cases received cervical surgeries，among which 56 cases received reoperation. We recorded the patients′ gender, age, hospitalization days, surgery segment, surgery approach, with internal fixation or not, surgical blood loss，surgery duration，pre?operative diagnosis，WBC levels and the neutrophil percentage before the first operation. The statistical analysis was carried out with software SPSS. Results Using logistic regression analysis，we found that the hospitalization days，WBC levels before the first operation and surgical blood loss were the important risk factors of cervical reoperation. Spinal cord recompression, tumor recurrence and nonhealing wounds were the major causes of cervical reoperation. Conclusion For patients with associated risk factors, they should be informed about the high risk of cervical reoperation, the doctors may also need to regulate tumor radiation and chemotherapy, observe the postoperative wounds more frequently，review indicators of infection timely and limit the postoperative cervical activity by wearing a neck circumference，so as to reduce the incidence of cervical reoperation.

Key words: cause of cervical reoperation, risk factors, cervical spinal reoperation

摘要： 【摘要】目的 本文通过回顾性分析颈椎手术病例再次手术情况，分析颈椎再次手术的风险因素和原因。方法 回顾性分析中山大学附属第一医院2005年5月至2015年5月所行颈椎手术患者共1043例,其中颈椎再次手术56例；记录患者性别、年龄、住院天数、手术节段、手术入路、是否内固定、手术出血量、手术时间、第一次手术术前诊断、第一次手术前白细胞数值以及中性粒细胞百分比,使用SPSS软件,进行统计学分析。结果 经二元Logistics回归分析,住院天数、白细胞数值和术中出血量是颈椎再次手术的重要风险因素。脊髓再次受压、肿瘤复发、伤口不愈合是颈椎再次手术的主要原因。结论 对于具有相关风险因素的患者，除了告知颈椎再次手术高风险外，还可以规范肿瘤术后放化疗，密切观察伤口情况，适时复查感染指标，加强宣教术后制动和佩戴颈围保护，努力降低再手术发生率。

关键词: 颈椎再次手术, 风险因素, 颈椎再手术原因