Objective:To investigate imaging features of esophagograms of psychotic patients with swallowing dysfunction. Methods:The imaging data of 218 cases with swallowing dysfunction were retrospectively analyzed, and the imaging features of throat and intra- and extra-esophageal lesions were summarized. Results: Besides the extra-esophageal organic lesions, the illusions caused by the psychiatric symptoms accounted for a large. Conclusions: For this particular group, it not only should timely find out the le-sions, but also accurately exclude the organic lesions.%目的：探讨精神病患者吞咽功能异常患者食管造影的影像学特点。方法：选取218例吞咽功能异常患者影像学资料进行回顾性分析，对该群体患者咽喉及食管内、外病变的影像学特征进行总结。结果：该群体患者除外食管器质性病变，精神症状所引起的错觉占很大原因。结论：针对这一特定群体，我们不仅要及时发现病变，更要准确排除器质性病变。
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