摘要
头颈部恶性肿瘤本身或治疗后均可导致不同程度的吞咽功能障碍,而头颈部恶性肿瘤治疗后吞咽功能障碍的发生率为50%~60%[1]。主要表现为食物下咽困难、进食后呛咳、食物在口咽部潴留,鼻腔反流或误吸等症状[2]。主要原因有:①肿瘤本身会影响食物的输送;②手术切除不可避免地改变原有解剖结构影响神经及肌肉运动;③放射治疗和化学治疗后,咽缩肌的正常功能明显受限,吞咽功能下降[3]。
After treatment,patients with head and neckmalignant tumors may suffer from dysphagia,which may lead to aspiration pneumonia,cough and other complications,even threaten life,seriously affecting patients’quality of life.Through comprehensive evaluation of patients’swallowing function,clinicians can make corresponding rehabilitation plans to improve patients’quality of life.This paper summarizes a variety of subjective and objective evaluation methods for evaluating swallowing function of head and neck malignant tumors.
作者
任佳
吕丹
刘世喜
REN Jia;LV Dan;LIU Shixi
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2020年第9期861-864,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
四川省科技厅重点项目(No:2017SZ0015)。
关键词
头颈部肿瘤
吞咽障碍
评估
head and neck neoplasms
dysphagia
assessment
