咽食管连接肿瘤影像学【荐】.pdfVIP

中国医学it算机成像杂志2001年第7卷第2期 77一 咽一食管连接肿瘤影像学 庄奇新 摘要：咽一食管连接也可称为环咽、食管上括约肌、环后区、咽食管段或食管人口。它是由软骨、肌肉、肌膜和韧带 组成。本文简要介绍了咽一食管连接的解剖、生理和影像学检查方法，包括常规x线、x线录像、CT和MRI。对 原发于咽一食管连接的肿瘤以及侵犯咽一食管连接的颈段食管癌、下咽癌、喉癌和甲状腺癌的影像学表现作了 介绍。咽一食管连接受肿瘤侵犯时，常规x线可发现钡剂通过咽一食管连接受阻、狭窄及黏膜破坏征象，cT和 MRI能发现咽一食管连接处椎前软组织增厚，杓一椎间距、寰一椎间距或甲一椎间距增大，杓状软骨破坏等影 像学表现。 关键词咽一食管连接肿瘤影像诊断 ofTumors Junction Invading Imaging Pharyngoesophageal ZhuangQkvin Six 20院_33 ofRadiology，Shanghai Department Hospital，Shanghai Abstract：The refers sphincter， pharyngoesophagealjunction cricopliaryngeas，upperesophageal and inletThe is postcrioidregion，pharyngoesophagealsegmentesophagealpharyngoesophagealjunction of composed cartilage，muscles}musculo—membranesandligaments．Theanatomy，physiologyandimag- methods MRIare inthis The and reviewed ing including fluoroscopy，CTbriefly paper radiography，video of characteristic and carcinomasare pas- imagesprimaryinvadingpharyngoesophagealsimilar．Delayed ofbariumandhaminalstrictureset are Oncontrast sage pharyngoesophagealjunctioneasilydisplayed CTandMRI bettershowthetumor destructionandthe