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目的探讨老年人颈段食道异物穿孔的CT、X线表现及相关问题。方法回顾性24例老年人颈段食道异物穿孔的CT及X线表现。结果食管周围炎16例,食管周围脓肿4例,食管-气管瘘1例,食管-纵隔瘘3例。CT表现:食管管壁增厚且不连续21例,异物突出食管腔外3例,突入气管内1例,食管周围片状及泡状气体密度影16例,斑片状潴留造影剂影12例。结论老年人食道颈段异物多为较大的骨块或枣核等硬性食物,容易损伤合并穿孔,并穿破食管壁形成食管气管或纵隔瘘,CT检查有利于观察食道管壁的完整性及连续性,还可以观察邻近软组织、气管及纵隔情况,又可发现平片未能显示的征象,是普通X线检查的补充,并为临床治疗提供一定的依据有重要价值。
Objective To investigate the CT and X-ray manifestations of the elderly patients with cervical esophageal foreign body perforation and related problems. Methods The CT and X - ray findings of cervical esophageal foreign body perforation in 24 elderly patients were retrospectively reviewed. Results 16 cases of esophageal inflammation, 4 cases of esophageal abscess, esophageal-tracheal fistula in 1 case, esophageal-mediastinal fistula in 3 cases. CT findings: esophageal wall thickening and discontinuity in 21 cases, foreign body esophageal prominent in 3 cases, 1 case of sudden tracheal, esophageal and bubble gas density in 16 cases, 12 cases of patchy retention contrast agent shadow 12 example. Conclusion The esophageal and cervical foreign bodies are mostly hard foods such as large bone or jujube nucleus, which is easy to damage the perforation and perforation of the esophageal wall to form esophageal trachea or mediastinal fistula. CT examination is helpful to observe the integrity of esophageal wall And continuity, you can also observe the adjacent soft tissue, trachea and mediastinum situation, but also found that plain film failed to show signs of general X-ray examination to supplement and provide some evidence for clinical treatment of great value.