食管型颈椎病的临床放射诊断  

The Clinical Radiodiagnosis of Cervical Spondylotic Esophagopathy

作　　者：魏从全[1] 陈刚[1] 郝光远[1] 

机构地区：[1]武警湖北总队医院放射科,湖北武汉430061

出　　处：《临床军医杂志》2004年第2期28-29,共2页Clinical Journal of Medical Officers

摘　　要：目的　分析食管型颈椎病临床表现与病理学关系 ,探讨放射学诊断价值。方法　收集整理食管型颈椎病 3 7例 ,男 2 6例 ,女 11例。年龄 43～ 75岁 ,平均 64 .5岁。食管吞钡检查 3 7例 ,纤维内窥镜检查 2 9例 ,颈椎椎间盘CT扫描 17例。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～ 6.9mm 3例次 ,7～ 9.9mm 8例次 ,10～ 12 .9mm 13例次 ,13～ 14 .9mm 8例次 ,15mm以上 7例次。位于颈椎3～ 4 7例次 ,颈椎4～ 511例次 ,颈椎5～ 6 3 3例次 ,颈椎6～ 72 9例次。结论　临床表现与骨赘大小呈正相关 ,食管吞钡检查 ,既简便易行 ,安全有效 ,病人又无痛苦 ,费用较少 。Objective To investigate the clinical manifestations of cervical spondylotic esophagopathy with correlation of pathology,and to assess the imaging diagnostic values. Methods 37 cases of cervical spondylotic esophagopathy had been studied.37 cases barium examination of esophagram,19 cases underwent endoscope of esophagus,and 17 cases undertaken CT scans. Results Barium examination demonstrated posterior compression of the esophagus and hypopharynx at the c 3～4 and/or c 4～5 and/or c 5～6 and/or c 6～7 by large spur. Conclusion It was a reasonable,and to elect barium examination of esophagus to people with dysphasia.The barium examination could fulfill clinical diagnosis and differential diagnosis.

关 键 词：食管型颈椎病 放射诊断 病理学 椎柱骨质增生 发病机制 

分 类 号：R681.55[医药卫生—骨科学] R816.8[医药卫生—外科学]