正常吞咽及吞咽障碍咽部X线动态造影观察  

Study of barium dynamic imaging of pharynx in patients with deglutition disorder and normal swallowing

作　　者：朱昭环[1] 周轲[1] 肖峰[1] 李涛[1] 周光荣[1] 曹翠明[1] 胡东[1] 柏根基[1] 金导泉[1] 

机构地区：[1]南京医科大学附属淮安第一医院,江苏淮安223300

出　　处：《现代医药卫生》2009年第2期173-174,共2页Journal of Modern Medicine & Health

摘　　要：目的:运用数字化X线摄影设备进行正常吞咽及吞咽障碍的咽部X线动态造影观察。方法:对299例正常吞钡X线造影检查进行咽部吞咽过程的动态采集,了解吞咽情况,并行吞咽时间测定,再按性别和3个年龄段分组进行对照观察。同时,对235例吞咽障碍患者咽部X线动态造影影像进行分析。结果:正常吞钡过程的咽通过时间在不同的性别、不同年龄段之间差异无显著性,299例正常吞钡过程的时间为(0.7273±0.2132)s。235例吞咽障碍主要是食管癌手术或放疗后、脑卒中、喉部肿瘤、颈椎骨质增生等患者,吞咽障碍患者吞钡过程的咽通过时间为(0.9288±0.1627)s。结论:数字化X线摄影设备由于能完整记录钡剂通过咽部的全过程,因此,运用数字化X线摄影设备进行咽部X线动态造影检查是诊断吞咽障碍的首选和基本的方法。Objective：To investigate the method and value of barium dynamic imaging of pharynx in patients with deglutition disorder（DD） and normal swallowing. Methods： The study population of the normal swallowing consisted of 299 cases and the deglutition disorder consisted of 235. In order to observe the swallowing status compared with the transporting time of pharynx measured in this study, all eases were examined with anterior-posterior and lateral projection dynamic acquisition from C7 to the skull base.The dynamic imagings of 235 deglutition disorder patients were studied.Results：There was no statistical difference of transporting time of pharynx between the different age and sex. The transporting time of pharynx for normal cases was （0.7273±0.2132）s. 235 cases of deglutition disorder occurred mainly in patients of esophageal carcinoma after radiotherapy or resection, stroke ,laryngeal tumor, the transporting time of pharynx for the deglutition disorders cases was （0.9288±0.1627）s.Conelusion：This method is the first choice in the examination of deglutition disorder,it can record the entire process of barium sulphate fluid flowing through the pharynx.

关 键 词：正常吞咽 吞咽障碍 动态影像 

分 类 号：R81[医药卫生—放射医学]