目的 :观察主动脉硬化迂曲 ,推移压迫食管引发临床吞咽困难的影像学表现。材料与方法 :通过回顾性分析总结 5 3例主动脉性吞咽困难的临床X线资料。结果 :5 3例食管推移受压的部位发生于食管自右侧向左前跨越降主动脉交叉处 ,主要X线表现为食管腔受压处扭曲、偏心性管腔狭窄、食管右偏前移和左偏前移。结论 :本病多发生于高龄患者 ,男多于女 ,由于主动脉硬化迂曲程度明显 ,推压食管移位扭曲 ,局部管腔变形狭窄 ,加上老年性食管本身的功能性失调 ,均可引发临床吞咽困难症状 OBJECTIVE: To observe the imaging findings of tortuosity of aorta sclerosis and the pressure esophageal mucosal evoked clinical dysphagia. Materials and Methods: Clinical X-ray data of 53 aortic dysphagia patients were retrospectively analyzed. Results: 53 esophageal invaders occurred in the esophagus across the descending aorta from right to left, the main X-ray showed distorted esophageal lumen, eccentric luminal stenosis, and right esophageal frontal shift And left shift forward. Conclusion: The disease occurred in elderly patients, more men than women, due to aortic tortuosity significantly, distorted esophageal displacement distortions, local lumen deformity narrow, coupled with senile esophageal dysfunction itself, can lead to Clinical symptoms of dysphagia