食管型颈椎病的临床及X线诊断分析  

Clinic and X-ray diagnosis towards esophagus-type cervical spondylosis

作　　者：陈平聪 李轩然[1] 

机构地区：[1]湛江市第四人民医院放射科,广东湛江524008

出　　处：《海南医学院学报》2010年第10期1363-1365,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100379)~~

摘　　要：目的:探讨食管型颈椎病的临床及X线表现,以期提高对本病的诊断率。方法:食管型颈椎病39例患者,全部进行颈椎正侧位X线平片及食管钡餐检查。结果:颈椎体前缘有不同程度的骨质增生,颈椎前缘骨赘高度5.0～6.9 mm 13例次,7.0～9.9 mm 12例次,10.0～12.9 mm 6例次,13.0～14.9 mm 5例次,15.0 mm以上3例次。增生骨赘压迫食管,致颈段食管后壁单发或多发性弧形压迹,位于颈4～5椎平面6例次,颈5～6椎平面33例次,颈6～7椎平面26例次,位于颈4～5至颈6～7椎平面钡剂滞留9例次。结论:临床表现与骨赘大小及弧形压迹深度呈正相关,食管型颈椎病普通X线检查具有一定特征性,颈椎正侧位X线片及食管钡餐检查,再结合临床表现,对于食管型颈椎病的临床诊断与鉴别诊断具有一定价值。Objective： To explore the clinic and X-ray manifestation of esophagus-type cervical spondylosis and improve the diagnosis rate.Methods： A total of 39 cases were collected.All cases had frontal and lateral X-ray images of cervical spondylosis and barium meal examination.Results： Different levels of hyperplasia happened in the front edge of cervical vertebrae,the osteophyte were 5.0-6.9 mm height in 13 cases,7.0-9.9 mm height in 12 cases,10.0-12.9 mm height in 6 cases,13.0-14.9 mm height in 5 cases,and over 15 mm height in 3 cases.The osteophyte pressed the esophagus and led to simple or multiple arc-shaped impression happened in back wall of esophagus,the impression of 6 cases were between 4-5 vertebrae level,33 cases between 5-6 vertebrae level,26 cases between 6-7 vertebrae level,barium meal blocked in 9 cases between 4-5 vertebrae and 6-7 vertebrae level.Conclusion： There is the positive correlation among clinic manifestation,sides of osteophyte,depth of the arc-shaped impression.The frontal and lateral X-ray images of cervical spondylosis and barium meal examination binding the clinic experience can be used as a valuable reference for the diagnosis and differential diagnosis of esophagus-type cervical spondylosis.

关 键 词：食管型颈椎病 食管钡餐检查 X线诊断 

分 类 号：R681.5[医药卫生—骨科学] R445.4[医药卫生—外科学]