中国临床康复2004，Vol.8Issue(22)：4610-4611,2.
电视荧光放射录相术对脑卒中后吞咽障碍患者的评估价值
Value of video fluoroscopy in the diagnosis of dysphagia after stroke
王德文 1刘志顺 1张维1
作者信息
- 1. 中国中医研究院广安门医院放射科,北京市,100053
- 折叠
摘要
Abstract
BACKGROUND: Video fluorography(VFG) can be used for investigating the transit time of the barium meal during swallow and identifying retention and aspiration of the barium meal, so as to understand the features of dysphagia to facilitate clinical decisions on the treatment planning. This modality has been widely used in clinical practice abroad.OBJECTIVE: To explore the clinical value of VFG in the diagnosis of dysphagia after stroke.DESIGN: A non-randomized, standard controlled, open, prospective study.SETTING and SUBJECTS: Sixty patients with dysphagia were selected from the Department of Neurology of Guang' anmen Hospital, China Academy of Traditional Chinese Medicine, with 20 healthy aged or middle-aged subjects also recruited as controls.INTERVENTION: All subjects were assessed with VFG by a professional radiographer Wang DW from Guang' anmen Hospital.MAIN OUTCOME MEASURES: Oral and pharyneal transit time of the barium meal in both groups were observed respectively during swallowing for evaluation of the oropharyneal function. Meanwhile, such pathological signs as reduced motion of the lingual muscle, residual barium in the pyriform fossa and epiglottic vallecula, aspiration into the airway were also observed.RESULTS: The transit time at different phases of swallowing in dysphagic group was significantly longer than that in the control group. Barium retention at the epiglottic vallecula was the most common finding in dysphagic patients, followed in frequency by retention in the pyriform fossae. Patients with brain stem lesions were more likely to develop the pathological signs than those with cerebral hemisphere lesions, and the occurrence of aspiration into the airway differed significantly between them( P ＜ 0. 05).CONCLUSION: VGF can be used for close observation of the pathological signs in the whole course of swallowing, which is especially descriptive of the pharyngeal phase, and therefore can be effective in the diagnosis of dysphagia after stroke.关键词
吞咽障碍/会厌/脑血管意外/放射摄影术分类
医药卫生引用本文复制引用
王德文,刘志顺,张维..电视荧光放射录相术对脑卒中后吞咽障碍患者的评估价值[J].中国临床康复,2004,8(22):4610-4611,2.
