食管型颈椎病诊断与治疗的进展  

Diagnosis and treatment of esophagustype cervical spondylosis

作　　者：谭浩林 罗程[1,2,3] 张润 王知青[1,2] 应航[1,2] 金红婷 童培建[1,2,3] 刘晋闽 

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江省骨伤研究所,浙江杭州310053 [3]浙江中医药大学第一附属医院,浙江杭州310006 [4]安徽中医药大学,安徽合肥230038

出　　处：《中国骨伤》2017年第12期1165-1170,共6页China Journal of Orthopaedics and Traumatology

基　　金：浙江省自然科学基金(编号:LY13H270014)~~

摘　　要：食管型颈椎病发病率较低,临床易误诊、漏诊,其病理基础主要与骨赘对食管、气管的压迫及周围炎症反应有关。该病的诊断不难,特别是动态食管钡餐造影在诊断方面的应用,不仅能显示颈椎退变的程度及骨赘的形态,而且还能清晰地观察食管及咽部受压的部位及程度。近年来,食管型颈椎病的治疗成为目前研究的焦点,普遍认为该病早期应首选保守治疗,可缓解病情但难于根治;越来越多的学者偏向于手术治疗该病,手术切除骨赘解除食管压迫,术后症状多能明显改善。然而,术后缺乏长期随访,其远期疗效缺乏有力支撑,且不同治疗方法、手术路径间缺乏对照研究。Esophagustype cervical spondylosis is easily misdiagnosed or missed diagnosed for its lower incidence. The pathological basis manily concerned with compression of osteophyte for esophageal and tracheal wall and local inflammatory reaction. The diagnosis of disease is generally not difficult. Especially dynamic esophagogram could not only show degree of cervical degeneration and osteophyte shape,but also could clearly observe location and degree of osteophytosis indenting esophageal and tracheal. Recently,the treatment of esophagustype cervical spondylosis has been the focus of attention. It is generally believed that conservative treatment could alleviate disease but could not cure it. More and more scholars tend to treat disease by surgical resection of osteophyte to relieve compression for esophagus,and clinical symptoms could obviously improved. However,long-term follow up is lack,and further follow up effect is lack of powerful support,anddifferent treatment methods and surgical procedures are lack of comparative research.

关 键 词：颈椎病 诊断 治疗 综述文献 

分 类 号：R681.55[医药卫生—骨科学]