Cervical osteophyte induced dysphagia.
Cervical osteophyte induced dysphagia.
复制标题
颈椎骨赘引起吞咽困难。
DOI：
10.1111/j.1440-1673.1989.tb03278.x
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发表时间：
1989
期刊：
影响因子：
--
通讯作者：
B. P. Brophy
中科院分区：
文献类型：
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作者：
Roger P. Davies;Michael R. Sage;B. P. Brophy
虽然颈椎病是一种常见的疾病，但骨赘形成引起的吞咽困难并不常见。颈部骨赘引起吞咽困难的病例报告不足百例，而对吞钡诊断的重视程度不高。本文报告两例手术治疗的影像学表现，并取得良好的效果。两个病例均主诉吞咽困难，而其中一个病例在颈部前屈时伴有呼吸道阻塞。引起吞咽困难的颈部骨赘的钡剂研究特征包括前后位和侧位投影中骨赘形成水平的畸形。由于喉入口处的畸形和会厌后倾的干扰，可能会出现气管误吸。
Although cervical spondylosis is a common disorder, dysphagia induced by osteophyte formation is uncommon. Fewer than one hundred cases of cervical osteophyte induced dysphagia have been reported, with little attention to the diagnosis by barium swallow. The radiological features of two cases treated surgically with good results are described. Both cases complained of dysphagia while one had associated respiratory obstruction on forward flexion of his neck. The features on barium study of cervical osteophytes causing dysphagia include deformity at the level of osteophyte formation, in both AP and lateral projections. Tracheal aspiration due to deformity at the laryngeal inlet and interference with epiglottic retroversion may be present.