颈椎骨质增生是否与吞咽困难有关过去一直有争论。该病在中、老年人中多见,大部分病人症状轻微或无症状。作者们报告3例颈椎骨质增生所致的吞咽困难,女1男2,年龄在65岁以上。均经X线平片、X线透视、钡餐透视和食管镜检查。进硬食时有吞咽困难和疼痛,病史分别为1个月、2年和3年。X线钡餐透视检查在与骨赘相一致的部位发现钡柱有割断的征象,持续3～9秒。其中1例还伴有内压性憩室。作者在讨论中指出,在中、老年人中本病变是引起吞咽困难的重要因素。位于食管后壁中部的骨赘突起使食管前后径变小,但病人仍能进流质和半流饮食。食管X线钡透检查发现的“割断征象”是与环咽肌短暂的痉挛相一致的。由于骨刺压迫食管,激发环咽肌痉挛,引起吞咽困难和疼痛。1例伴有内压性憩室,位于钡柱割断点以 Whether cervical hyperostosis is associated with dysphagia has been debated. The disease is more common in the elderly, the majority of patients with mild symptoms or no symptoms. The authors report 3 patients with dysphagia caused by cervical osteoarthritis, 1 female and 2 female, aged over 65 years. All were X-ray, X-ray, barium meal and esophagoscopy. Into hard food swallowing difficulties and pain, history were 1 month, 2 years and 3 years. X-ray barium meal fluoroscopy in the same site with the osteophyte found barium column has a cut-off signs, for 3 to 9 seconds. One case was accompanied by internal pressure diverticulum. The author pointed out in the discussion that the present lesion in middle and elderly people is an important factor in causing dysphagia. In the middle of the esophageal posterior wall of the osteophyte protrusion esophageal anteroposterior diameter smaller, but the patient can still enter the liquid and half-stream diet. Esophageal barium examination found that the “cut off signs” is consistent with epistaxis transient spasm. As the spur oppression of the esophagus, stimulate the cricothyroidism spasm, causing difficulty swallowing and pain. One case accompanied by internal pressure diverticulum, located at the barium column cut off point