Qian Sheng-Jun, Ye Xue-Shi, Chen Wei-Shan, Li Wan-Li
Department of Orthopaedic Surgery, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
J Int Med Res. 2016 Feb;44(1):170-5. doi: 10.1177/0300060515614230. Epub 2016 Jan 5.
Oesophageal perforation after blunt injury cervical fracture in patients with ankylosing spondylitis (AS) is rarely reported. The early diagnosis of oesophageal perforation is extremely important. We present two cases of patients with AS who sustained cervical fracture dislocation and spinal cord injury. The ossified sharp fragments caused oesophageal perforation, and the delayed diagnoses had serious consequences. Oesophageal perforation should be suspected in patients with AS and cervical fracture if bone fragments are pressing against the oesophagus and a gas shadow is visible around the fracture site on computed tomography imaging.
强直性脊柱炎（AS）患者钝性颈椎骨折后食管穿孔鲜有报道。食管穿孔的早期诊断极为重要。我们报告了两例AS患者，他们发生了颈椎骨折脱位和脊髓损伤。骨化的尖锐碎片导致食管穿孔，延迟诊断产生了严重后果。如果AS合并颈椎骨折患者的骨碎片压迫食管，且计算机断层扫描成像显示骨折部位周围有气体阴影，则应怀疑食管穿孔。
