Trashin A V, Vikherev N V, Belov E M, Shamanin V A, Stepanenko V V
St. Petersburg City Multi-field Hospital No. 2, St. Petersburg, Russia.
Mechnikov North-Western State Medical University, St. Petersburg, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2024;88(2):69-76. doi: 10.17116/neiro20248802169.
Anterior cervical osteophytes are a fairly common X-ray finding in people over 50 years old. Incidence of dysphagia in patients with anterior osteophytes varies from 1% in those aged 40-60 years to 10.6% in patients over 60 years old. The most common causes of anterior cervical hyperosteophytosis causing dysphagia are cervical spondylosis deformans and Forestier disease. We present 2 clinical cases of spondylogenic dysphagia in cervical spondylosis deformans and Forestier disease. The review is devoted to the causes and diagnostic methods for dysphagia caused by anterior cervical osteophytes, as well as surgical options for this pathology.
Microsurgical resection of anterior osteophytes is an effective method for dysphagia after ineffective therapy for 3 months. Microsurgical osteophytectomy provides stable regression of dysphagia with low recurrence rate.
颈椎前缘骨赘是50岁以上人群中相当常见的X线表现。颈椎前缘有骨赘的患者中吞咽困难的发生率在40 - 60岁人群中为1%，在60岁以上患者中为10.6%。导致吞咽困难的颈椎前缘骨质增生最常见的原因是脊髓型颈椎病和Forestier病。我们介绍2例脊髓型颈椎病和Forestier病所致的脊柱源性吞咽困难的临床病例。本综述致力于探讨颈椎前缘骨赘所致吞咽困难的病因、诊断方法以及针对该病理情况的手术选择。
对于经过3个月无效治疗后的吞咽困难，前路骨赘显微切除术是一种有效的方法。显微骨赘切除术能使吞咽困难得到稳定缓解，复发率低。
