球囊扩张术在儿童环咽肌失弛缓症患者中的应用1例  

Application of Balloon Dilatation for Cricopharyngeal Achalasia in Children:A Case Report

作　　者：万桂芳[1] 胡昔权[1] 窦祖林[1] 兰月[1] 谢纯青[1] 

机构地区：[1]中山大学附属第三医院康复科,广东广州市510630

出　　处：《中国康复理论与实践》2010年第3期279-280,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨球囊扩张术治疗小儿环咽肌失弛缓症疗效与可行性。方法对1例1岁9个月小儿进行报道。结果经14次扩张治疗后,电视透视摄像造影评价(VFSS)显示:食物能较顺畅地穿过环咽肌处进入食道,钡剂在会厌谷和梨状隐窝的残留量明显减少,无呛咳或误吸入肺部,环咽肌开放正常。患儿可拔除胃管,经口安全进食。结论导尿管球囊扩张术能应用于小儿环咽肌失弛缓症,有效缓解环咽肌失驰缓,改善吞咽功能。Objective To study the effects and feasibility of balloon dilatation on cricopharyngeal achalasia in children with dys phagia. Methods One 21-month old child was reported. Results After 14 times dilatation therapy, the video fluoroscopic swallowing study showed that the bolus can pass the cricopharyngeus. The residuals in the epiglottis and piriform sinuses reduced. No bucking and aspiration happened and the cricopharygeus muscle relaxed normally. The gastric tube can be removed and the child got full peroral nutrition. Conclusion Balloon dilatation is effective to relax the cricopharygeus muscle and improve the swallowing function of children with dysphagia because of cricopharyngeal achalasia.

关 键 词：环咽肌失弛缓症 吞咽障碍 球囊扩张术 儿童 

分 类 号：R493[医药卫生—康复医学]