摘要
目的：探讨手术治疗以吞咽困难为主诉的食道型颈椎病的临床疗效和手术方式。方法：对2005年6月至2012年5月采用颈椎前路手术方式治疗的8例食道型颈椎病患者进行回顾性分析，其中男6例，女2例；年龄65—83岁，平均73岁。3例行单纯骨赘切除，2例合并椎间盘摘除、植骨融合及内固定术，3例合并椎体次全切、植骨融合及内固定术。观察手术前后症状体征并用Bazaz吞咽困难评分进行评价。结果：8例患者均获得随访，时间12-40个月，平均18．5个月。末次随访结果为无症状7例，轻度症状1例，影像学示气管后、椎体前间隙较术前明显增大。结论：手术治疗以吞咽困难为主诉的食道型颈椎病效果良好，手术方式依据患者病变节段椎体的稳定性、是否合并神经症状而定。
Objective：To investigate the clinical effects and operative options for the treatment of Forestier disease. Methods：From June 2005 to May 2012,8 patients with progressive dysphagia due to Forestier disease were treated through anterior approach,their clinical data were retrospective analyzed. There were 6 males and 2 females, aged from 65 to 83 years old with an average of 73 years. Among the patients, osteophytes removal was performed in 3 cases, osteophytes removal with discectomy and fusion was performed in 2 cases, osteophytes removal with corpectomy and fusion was performed in 3 cases. According to Bazaz dysphagia score to assess the improvement of the patients＇ symptoms before and after operation. Results. All patients were followed up from 12 to 40 months with the mean of 18.5 months. Seven cases were asymptomatic and 1 case had mild symptom in the last follow-up. Radiographs showed the space enlargement between vertebral body and trachea. Conclusion：It is effective to treat patients with progressive dysphagia due to Forestier disease through surgical method. And the operative options depend on the stability of cervical spine and the neurological symptoms of the patients.
出处
《中国骨伤》
CAS
2015年第1期78-81,共4页
China Journal of Orthopaedics and Traumatology
关键词
食道型颈椎病
骨肥厚
弥漫性特发性骨骼
外科手术
Forestier disease
Hyperostosis,diffuse idiopathic skeletal
Surgical procedures,operative
