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吞咽造影在脑损伤患者吞咽障碍的临床价值 被引量:15

Clinical value of swallowing angiography in patients with dysphagia and brain injury
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摘要 目的探讨吞咽造影(videofluoroscopic swallowing study, VFSS)对脑损伤患者吞咽障碍疗效评估。方法 40例脑卒中及脑外伤吞咽障碍患者,分别采用稀钡、浓稠钡和糊状钡三种不同性状、相同容量的钡剂,对吞咽障碍患者治疗前、后进行吞咽造影检查,根据吞咽造影对吞咽障碍患者治疗前、后进行吞咽功能评估比较分析。结果 40例患者均能清晰观察到整个吞咽过程,观察吞咽启动、喉上抬、会厌谷残留、梨状窝残留、渗透及误吸等情况,其中吞咽启动时间、喉上抬比治疗前明显改善(P<0.05)。结论吞咽造影检查能有效评估脑损伤合并吞咽障碍患者的吞咽功能,其有助于指导临床选择有效治疗措施及提供观察治疗效果的依据。 Objective To evaluate the therapeutic effect on dysphagia in patients with brain injury with usage of swallowing angiography. Methods 40 patients with dysphagia after stroke or brain injury were examined with same volume of dilute, thickened and paste barium before and after treatment. With respect to swallowing angiography, the swallowing function of these patients before and after treatment was evaluated. Results The whole swallowing process clearly observed in all the 40 patients showed that the onset time of swallowing, laryngeal lifting, residual of epiglottic valley, residue of piriform fossa, osmosis and false aspiration, etc., of which the onset time of swallowing and lifting of larynx were significantly improved compared with those before treatment ( P <0.05). Conclusion Swallowing angiography can effectively evaluate the swallowing function of patients with dysphagia and brain injury, which might be helpful for guiding selecting effective treatment measures in clinical practice and providing a strong basis for observing the therapeutic effect.
作者 周仁娣 尚霄东 钱倩 余琴 沈秀明 ZHOU Rendi;SHANG Xiaodong;QIAN Qian;YU Qin;SHEN Xiuming(Department of Radiology,Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center),Shanghai 201619,P.R.China;Shanghai University of Medicine & Health Sciences,College of Medical Imaging,Shanghai 201318,P.R.China)
出处 《医学影像学杂志》 2019年第2期202-205,共4页 Journal of Medical Imaging
基金 上海市残疾人康复科研项目(编号:YZ2015002)
关键词 脑卒中 脑外伤 吞咽障碍 X线 吞咽造影检查 Stroke Brain trauma Dysphagia X-ray Swallowing examination
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