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与颈椎病相关的颈源性吞咽困难:一例报告及简要综述。

Cervicogenic dysphagia associated with cervical spondylosis: A case report and brief review.

作者信息

Chu Eric C P, Lee Linda Y K

机构信息

New York Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong SAR, China.

School of Nursing and Health Studies, The Open University of Hong Kong, Hong Kong SAR, China.

出版信息

J Family Med Prim Care. 2021 Sep;10(9):3490-3493. doi: 10.4103/jfmpc.jfmpc_359_21. Epub 2021 Sep 30.

Abstract

Dysphagia (swallowing difficulty) is most often related to another health problems, including brain or spinal cord injury, neurological damage, neuromuscular disorders, and anatomical conditions. Dysphagia can have detrimental effects on pulmonary health and also impact nutritional intake. The right treatment depends on the cause established. Cervicogenic dysphagia is a cervical cause of difficulty in swallowing. This report describes a 53-year-old female patient with sore throat, swallowing difficulty for solids, and acid reflux for 2 years. Radiographs revealed anterior osteophytic lipping and kyphosis of the cervical spine and thoracolumbar (right convex) scoliosis. After 6 months of chiropractic treatment, her complaints and spinal deformity were obviously resolved. Our case report is unique in that the patient had an unusual presentation, i.e. cervical osteophytes, cervical kyphosis, and thoracolumbar scoliosis, which are all contributable causes of dysphagia. Correction of spinal deformity could result in positive treatment outcomes in selected patients with symptoms of cervicogenic dysphagia.

摘要

吞咽困难通常与其他健康问题相关,包括脑或脊髓损伤、神经损伤、神经肌肉疾病以及解剖学状况。吞咽困难会对肺部健康产生不利影响,也会影响营养摄入。正确的治疗取决于查明的病因。颈源性吞咽困难是由颈椎问题导致的吞咽困难。本报告描述了一名53岁女性患者,她咽喉疼痛、固体食物吞咽困难且有胃酸反流症状达2年。X线片显示颈椎前缘骨赘形成和后凸畸形,以及胸腰椎(右侧凸)脊柱侧弯。经过6个月的整脊治疗,她的症状和脊柱畸形明显缓解。我们的病例报告具有独特性,因为患者有不寻常的表现,即颈椎骨赘、颈椎后凸和胸腰椎脊柱侧弯,这些都是吞咽困难的促成因素。对于选定的有颈源性吞咽困难症状的患者,纠正脊柱畸形可能会带来积极的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5264/8565143/2904adccd6ec/JFMPC-10-3490-g001.jpg

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