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目的探讨颈椎病所致吞咽障碍患者的数字化X线吞咽造影录像表现,并评定其应用价值。方法对175例颈椎病性吞咽障碍患者行数字化X线造影录像检查,应用图像后处理软件对录像逐帧分析,计数颈椎增生以及咽、食管后壁压迹的位置、数量,测量压迹宽度、深度。结果175例患者椎体前缘唇样、鸟嘴样增生396处,共出现压迹331个,其中单一压迹82例(46.5%),两处压迹30例(17.2%),三处压迹63例(36.3%);压迹位于C3/4椎间隙9个(2.7%)、C4/5椎间隙78个(23.6%),C5/6椎间隙154个(46.5%)、C6/7椎间隙81个(24.5%),C7/T1椎间隙9个(2.7%);其中轻度压迹216个(65.2%),中度压迹75个(22.6%),重度压迹40个(12.2%)。结论数字化X线吞咽造影录像能够直观、精确、详细的分析颈椎病所致吞咽障碍患者颈椎骨质的改变以及咽、食管后壁受压情况,有重要的应用价值。
Objective To investigate the digital X-ray video recording of swallowing disorder patients with cervical spondylosis and evaluate its application value. Methods A total of 175 patients with cervical spondylosis dysphagia underwent digital X-ray contrast imaging. Image post-processing software was used to analyze the video frame by frame. The position and number of cervical spine hyperplasia and post-esophageal wall indentation were counted, depth. Results Among 175 patients, there were 396 lip-like and beak-like hyperplasia with 331 indentations, including 82 (46.5%) with single indentation, 30 (17.2%) with two indentations, Sixty-seven cases (36.3%) had trace sites, and nine (2.7%) were located on C3 / 4 intervertebral space, 78 (23.6%) on C4 / 5 intervertebral space, 154 There were 81 (24.5%) of the intervertebral space and 9 (2.7%) of the C7 / T1 intervertebral space. Among them, 216 (65.2% 12.2%). Conclusions Digital X-ray swallow angiography can be used in an intuitive, accurate and detailed analysis of changes of cervical vertebrae as well as compression of posterior wall of pharynx and esophagus in patients with swallowing disorders caused by cervical spondylosis.