球囊扩张术用于治疗鼻咽癌放疗后环咽肌失弛缓的疗效观察  

Effectiveness of catheter balloon dilation on treating cricopharyngeal achalasia after radiation therapy of nasopharyngeal carcinoma

作　　者：罗子芮[1] 陈子波[1] 李世刚[1] 

机构地区：[1]南方医科大学附属南海医院康复医学科,广东佛山528200

出　　处：《中国康复》2014年第3期189-191,共3页Chinese Journal of Rehabilitation

摘　　要：目的:探讨导管球囊扩张术用于治疗鼻咽癌放疗后环咽肌失迟缓的疗效。方法:38例环咽肌失迟缓的吞咽困难患者随机均分为球囊扩张组和常规训练组各19例。球囊扩张组接受常规吞咽训练和导尿管球囊扩张治疗,常规训练组仅进行常规吞咽训练。治疗终点为恢复经口进食或治疗已满4周。治疗前后均进行功能性经口摄食量表(FOIS)评分和吞咽造影。结果:治疗后,球囊扩张组和常规训练组FOIS评分均得到提高(P<0.05),且前者提高更明显(P<0.05);治疗后,2组环咽肌开放率均明显提高(P<0.05),且球囊扩张组的环咽肌正常开放率明显高于常规训练组(P<0.05)。结论:导尿管球囊扩张用于治疗鼻咽癌放疗后环咽肌失迟缓患者疗效显著,可大大改善患者经口进食的能力。Objective ：To investigate the effectiveness of using a catheter balloon dilation to treat cricopharyngeal achalasia after radiation therapy of nasopharyngeal carcinoma .Methods ：Thirty-eight patients with cricopharyngeal achalasia were divided into balloon dilation group and routine group randomly （n= 19 for each） .Balloon dilation group was given routine swallowing training and balloon dilation ,and routine group was only given routine swallowing training .Full oral-taken or four week-training was taken as terminal point of training .Patients were evaluated by Functional Oral Intake Scale（FOIS） and a videofluoroscopic swallowing study before and after therapy .Results ：Scores of FOIS assessment in two groups were increased after therapy （P〈0 .05） ,more significantly in balloon dilation group （P〈0 .05） .Cricopharyngeal opened greater after therapy in two groups （P〈0 .05） ,more significantly in balloon dilation group than in routine group （P〈0 .05） .Conclusion ：Catheter balloon dilation showed great effectiveness in treating nasopharyngeal carcinoma patients with cricopharyngeal achalasia induced by radiation therapy , which can greatly improve the ability of food intake .

关 键 词：环咽肌失弛缓 吞咽困难 球囊扩张术 鼻咽癌 

分 类 号：R739.63[医药卫生—肿瘤]