食管型颈椎病手术治疗一例报告

Dysphagia in a patient with esophageal cervical spondylosis:1 case report

食管型颈椎病是一种以前颈椎韧带骨化为特征的罕见的颈椎病类型。巨大骨赘形成的原因常常为弥漫性特发性骨肥厚症（diffuse idiopathic skeletal hyperostosis,DISH）或强直性脊柱炎[1]。由颈椎病造成的吞咽困难临床很少见,其发病率约占颈椎病的2%[2]。

Objective To remove osteophyte via anterior approach, and provide references for future diagnosis and treatment. Methods Diagnosis was based on clinical and imaging examinations. Anterior cervical spine surgery was performed. We consulted related literature and provided scientific evidence for the diagnosis and treatment. Results Osteophyte was removed by the surgery. Postoperative X-ray showed that the osteophyte was basically removed. Dysphagia and foreign body sensation were relieved 2 days postoperatively. Follow-up ranged 6 months and the prognosis was good. Conclusions Diagnosis of esophageal cervical spondylosis depends on clinical manifestations and imaging examinations and needs to exclude other diseases. Surgical approach is effective if conservative treatment fails.