CT引导下肉毒毒素环咽肌注射治疗真性延髓麻痹所致吞咽障碍1例报道  

CT-guided Botulinum Toxin Injection into Cricopharyngeus for Dysphagia after True Bulbar Palsy:a Case Report

作　　者：王利春[1] 黄凤慧 苗维[1] 胡方梅[1] 刘杰 戚峰 贾丽娟[1] WANG Li-chun;HUANG Feng-hui;MIAO Wei;HU Fang-mei;LIU Jie;QI Feng;JIA Li-juan(Department of Rehabilitation Medicine,Cangzhou Hospital of Integrated TCM-WM Hebei,Cangzhou,Hebei 061000,China;Image Center,Cangzhou Hospital of Integrated TCM-WM Hebei,Cangzhou,Hebei 061000,China)

机构地区：[1]河北省沧州中西医结合医院康复医学科,河北沧州市061000 [2]河北省沧州中西医结合医院影像中心,河北沧州市061000

出　　处：《中国康复理论与实践》2019年第4期477-480,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨CT引导下肉毒毒素环咽肌注射治疗1例真性延髓麻痹所致吞咽障碍患者的效果。方法回顾1例真性延髓麻痹所致吞咽障碍患者的临床资料,采用CT引导进行肉毒毒素环咽肌注射。结果患者脑干梗死后出现吞咽障碍,诊断为真性延髓麻痹。予以吞咽障碍常规康复治疗及球囊扩张术,临床效果良好,因患者病情反复3次,予以CT引导下肉毒毒素环咽肌注射,临床疗效显著,随访未再出现病情反复。结论 CT引导下肉毒毒素环咽肌注射治疗真性延髓麻痹所致吞咽障碍临床疗效显著,出现病情反复可能性小。Objective To explore the effect of CT-guided Botulinum toxin injection into cricopharynx muscle on dysphagia caused by true bulbar palsy.Methods A case of dysphagia caused by true bulbar palsy was treated with CT-guided Botulinum toxin injection and its therapeutic effect was reported.Results The patient had dysphagia after brainstem infarction and was diagnosed as true bulbar palsy.After routine rehabilitation of dysphagia and balloon dilatation,her dysphagia relieved,but reappeared three times.Botulinum tox-in was injected into the loop pharynx muscle under the guidance of CT,the clinical effect was remarkable,and no recurrence of the disease appeared in the follow-up.Conclusion CT-guided Botulinum toxin injection into cricopharyngeus is effective on dysphagia caused by true medul-lary palsy,and the probability of recurrence is small.

关 键 词：真性延髓麻痹 吞咽障碍 肉毒毒素 环咽肌 

分 类 号：R743.3[医药卫生—神经病学与精神病学]