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巨大多级颈椎前路骨赘形成所致食管狭窄

Oesophageal stenosis caused by giant multilevel anterior cervical osteophytosis.

作者信息

Ezzy Mohsen, Kraus Thomas, Berkhoff Stefan

机构信息

Department of General and Minimal Invasive Surgery, Nordwest Hospital, Frankfurt, Germany.

出版信息

J Surg Case Rep. 2020 Aug 19;2020(8):rjaa166. doi: 10.1093/jscr/rjaa166. eCollection 2020 Aug.

Abstract

Dysphagia secondary to osteoarticular disorders is a rare entity. In this report, we present the case of a 76-year-old female patient with progressive dysphagia and recurrent aspiration pneumonia caused by large anterior cervical osteophytes. Osteophytectomy was performed without spinal fusion. The patient reported significant improvement post-operatively, and no recurrence was detected at the 1-year follow-up. Cervical osteophytosis should be suspected as a cause of dysphagia, especially in elderly patients with degenerative osteoarthritic disease when other causes have been excluded.

摘要

继发于骨关节疾病的吞咽困难是一种罕见的病症。在本报告中,我们介绍了一名76岁女性患者的病例,该患者因颈椎前路大骨赘导致进行性吞咽困难和反复吸入性肺炎。在未进行脊柱融合的情况下实施了骨赘切除术。患者术后报告症状显著改善,在1年随访中未发现复发。应怀疑颈椎骨赘形成是吞咽困难的一个原因,特别是在排除了其他原因的患有退行性骨关节炎疾病的老年患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/725f/7440395/da4e3cfc6b44/rjaa166f1.jpg

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