| 范文可,吴 毅,路微波,田 威,吴军发.导尿管球囊扩张术治疗神经源性环咽肌失弛缓症的临床研究[J].中国康复医学杂志,2011,26(5):415~418 |
| 导尿管球囊扩张术治疗神经源性环咽肌失弛缓症的临床研究 点此下载全文 |
| 范文可 吴 毅 路微波 田 威 吴军发 |
| 复旦大学附属华山医院康复医学科，上海，200040 |
| 基金项目：复旦大学附属华山医院课题（院279） |
| DOI： |
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| 摘要
目的：探讨导尿管球囊扩张术对神经源性环咽肌失弛缓症所致的吞咽障碍的治疗作用。
方法：36例神经源性环咽肌失弛缓症患者，经视频吞咽造影检查诊断明确，随机分成治疗组和对照组。治疗组给予导尿管球囊扩张术及常规吞咽康复治疗，对照组仅给予常规吞咽康复治疗。治疗终点为恢复经口进食或治疗已满6周（每周治疗5次）。分别在治疗前和治疗终点采用视频吞咽造影检查（VFSS）和吞咽功能评价。
结果：经导尿管球囊扩张术治疗6周后，治疗组18例患者中有13例恢复经口进食普通饮食，包括水和固体食物，15例可进食糊状食物，仅3例效果不明显；对照组中有6例患者恢复进食普通食物，11例进食糊状食物，7例效果不明显，两组比较差异有显著性意义（P<0.05）。治疗前后VFSS检查发现，两组治疗后VFSS评分与同组治疗前比较均有显著提高（P<0.01）。治疗后两组VFSS评分比较，治疗组比对照组有显著提高（P<0.05）。
结论：导尿管球囊扩张术对由于脑卒中、脑外伤、脑肿瘤引起的神经源性环咽肌失弛缓症所致吞咽障碍疗效显著。 |
| 关键词：导尿管球囊扩张术 环咽肌失弛缓症 吞咽障碍 视频吞咽造影检查 |
| Clinical study of catheter balloon dilatation therapy for neurogenic cricopharyngeal achalasia Download Fulltext |
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| Dept. of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, 200040 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To investigate the effects of catheter balloon dilatation therapy on treating patients with dysphagia caused by neurogenic cricopharyngeal achalasia.
Method: Thirty-six patients of dysphagia caused by neurogenic cricopharyngeal achalasia were diagnosed through video fluoroscopic swallowing study (VFSS). The patients were divided into a treatment group and a control group randomly. The treatment group was treated with catheter balloon dilatation therapy and routine dysphagia rehabilitation training, while the control group was treated with routine dysphagia rehabilitation training only. The treatment end point was either the patient resuming an oral diet or after 6-week treatment (5 times treatments per week). All cases were evaluated by swallowing function and VFSS before and after treatment.
Result: After 6-week catheter balloon dilatation therapy, 13 of the 18 patients in treatment group regained the ability to take solid food and water orally, 15 of them could take pasty food, only 3 patients had no significant effect. Only 6 of the 18 patients in control group regained the ability to take solid food and water orally, 11 of them could take pasty food, 7 patients had no improvement. There was a significant difference between the two groups（P<0.05）. After treatment, VFSS scores in both groups were significantly better than those before treatment（P<0.01）. Compared the both groups after treatment, VFSS scores in the treatment group were significantly higher than those in the control group（P<0.05）.
Conclusion: Catheter balloon dilatation therapy is effective for neurogenic cricopharyngeal achalasia caused by stroke, traumatic brain injury and brain tumor. |
| Keywords:catheter balloon dilatation therapy cricopharyngeal achalasia dysphagia video fluoroscopic swallowing study |
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