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主动脉性咽下困难的X线诊断——附10例病例分析

RADIOLOGICAL FEATURES OF DYSPHAGIA AORTICA

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【作者】 吴振华张本林吴可光

【Author】 Wu Zhenhua et al Dept of Radiology, The Third Affiliated Hospital

【机构】 中国医科大学附属第三医院放射线科中国医科大学附属第三医院内科

【摘要】 本文报道10例主动脉性咽下困难。病因为高血压和/或主动脉硬化。X线特征为:①下段食管不完全梗阻;②梗阻端正位呈两种不同形态:一为梳齿状;一为偏心性狭窄。左、右前斜位均为尖端指向前的偏心性狭窄;③受压移位食管左前斜位呈正“C”字形,右前斜位是反“C”字形,“C”字内有降主动脉断面致密影;④移位食管内之粘膜扭曲交叉。

【Abstract】 Ten cases of dysphagia aortica are reported. This kind of dysphagia is ca-used by hypertension and/or aortic sclerosis associated with elongation, tortuo-sity and dilatation of aorta as well as enlargement of left ventricle which co-mpress the lower segment of esophagus to produce incomplete obstruction ofesophagus. Its x-ray features consist of that:1) incomplete obstruction of eso-phagus; 2) in P-A view the stenotic end shows either a comb-toothed appea-rance or eccentric narrowing of the esophgeal lumen, while in RAO and LAOviews it shows an eccentric narrowing with the tapered end pointing forward;3) displacement of the compressed esophagus showing a "C" or reversed "C"shaped deformity and within the shadow of the "C"-curved esophagus one canfind the dense shadow of the descending aorta; 4) twisting of mucosal patternof the displaced segment of the esophagus

【关键词】 咽下困难动脉硬化高血压X线诊断
【Key words】 DysphagiaArteriosclerosisHypertension
  • 【文献出处】 中国医科大学学报 ,Journal of China Medical University , 编辑部邮箱 ,1987年03期
  • 【下载频次】7
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