数字化食管钡剂造影在食管型颈椎病诊断中的应用价值  

Application Value of Digitial X-ray Esophageal Barium in the Diagnosis of Cervical Syndrome with Compressing Esogpagus Type

作　　者：程志伟 

机构地区：[1]湖北省蕲春县人民医院放射科,湖北蕲春435300

出　　处：《临床医学工程》2011年第9期1388-1389,共2页Clinical Medicine & Engineering

摘　　要：目的探讨数字化食管钡剂造影对食管型颈椎病的诊断价值。方法对食管吞钡造影诊断为食管型颈椎病的120例患者摄颈椎正侧位、双斜位(造影前后)点片,其中34例摄过伸过屈位点片进行回顾性分析。结果食管型颈椎病的X线征象表现为椎体骨质增生及食管后壁受压前移占100%;颈椎关节骨质增生占93.3%;椎间隙变窄或伴纤维环及髓核钙化占35.8%;生理曲度异常占69.2%;椎间孔变小、变形占51.6%;前纵韧带或项韧带钙化占67.5%;颈椎不稳或前后滑脱占19.2%。结论数字化食管钡剂造影对食管型颈椎病的诊断较普通颈椎摄片便捷、直观、准确,尤其在基层医院更有应用价值。Objective To evaluate the diagnostic value of digitial X-ray esophageal barium in cervical syndrome with compressing esogpagus type.Methods The lateral,two oblique pictures（before and after esophageal barium） of 120 patients with cervical syndrome with compressing esogpagus type diagnosed by digitial X-ray esophageal barium were taken,of which the pictures of 34 cases who had reached over flexion point were retrospectively analyzed.Results The X-ray signs of cervical syndrome with compressing esogpagus type showed that vertebral hyperostosis and forward pressure on the posterior wall of the esophagus accounted for 100%;cervical joint osteoarthritis accounted for 93.3%;the disc space narrowing or calcification of fibrous ring and the nucleus accounted for 35.8%;abnormal physiological curvature accounted for 69.2%;smaller,deformed foramen accounted for 51.6%;the calcification of anterior longitudinal ligament or nuchal ligament accounted for 67.5%;cervical instability or spondylolisthesis accounted for 19.2%.Conclusions Compared with normal cervical spine radiography,digitial X-ray esophageal barium in the diagnosis of cervical syndrome with compressing esogpagus type is more convenient,intuitive,accurate,and particularly in the primary hospital it has more application value.

关 键 词：食管型颈椎病 X线钡剂检查 

分 类 号：R681.55[医药卫生—骨科学]