食管钡餐造影对食管型颈椎病的诊断价值

The barium meal examination for diagnosing cervical syndrome with compressing esophagus type

目的探讨颈椎病引发食道吞咽困难的钡餐造影检查诊断价值。方法收集食管型颈椎病30例,男14例,女16例。年龄44-71岁,平均59.8岁。全部进行食管钡餐检查。结果颈椎体前缘有不同程度的骨质增生,增生骨赘压迫食管,致食管弧形压迹,单个弧形压迹6例,位于颈5-6,双弧形压迹11例,位于颈5-6至颈6-7,多个弧形压迹3例,位于颈4-5至颈6-7,钡剂滞留5例。结论食管钡餐造影检查对颈椎病引发咽喉部异物感或吞咽困难的早期诊断、早期治疗及鉴别诊断有一定价值。

Objective To assess the diagnostic value of barium meal examination in cervical syndrome with compressing esophagus type. Methods Thirty cases with cervical syndrome including 14 males and 16 females aged 44 - 71 years （mean age 59.8 years） were reviewed retrospectively. All the patients have been undergone barium meal examinations. Results Barium meal examination demonstrated posterior compressions of esophagus and hypopharynx at either C4-5 or C6-7, C5-6 or C6-7 by large spur, Conclusion The barium meal exami- nation can fulfill clinical diagnosis and differential diagnosis.