手术治疗食管型颈椎病一例

The treatment of esophagus-type cervical spondylosis in 1 case with surgery

引起吞咽困难的疾病较多,主要有食管癌、贲门痉挛、食管憩室症、缺铁性吞咽困难综合征、弥漫性食管痉挛症等.近年来随着对颈椎病研究的不断深入,由于颈椎退变的原因引起吞咽困难的食管型颈椎病逐渐得到临床医生的认识和注意,在1992年的全国颈椎病会议上被初步定为颈椎病一种类型,其发病率约占颈椎病中的2%﹪[1-2].

Cervical spondylosis is a common disease in the adult and old, and it has complicatea symptoms. The esophageal-type cervical spondylosis of dysphagia or pharyngeal foreign body sensation is easy to be misdiagnosed. The esophageal-type cervical spondylosis is different from common cervical spondylosis. The osteophyte located in pharynx or upper esophagus entrance will cause swallowing foreign body sensation and cervical leading edge osteophyte will cause difficulty in swallowing （occurrence rate, 2%）. If there are the patients with dysphagia or pharyngeal foreign body sensation, we should think of esophageal-type cervical spondylosis. X-rays or MRI should be carried out in order to avoid misdiagnosed to make timely treatment. When it appears obvious clinical symptoms or conservative treatment fails, surgical treatment should be taken timely and can get better effect.