导尿管球囊扩张术辅助电刺激治疗环咽肌失弛缓症的效果研究  

Study on the Clinical Efficacy of Catheter Balloon Dilatation Assisted with Electrical Stimulation in the Treatment of Cricopharyngeal Achalasia

作　　者：王宏涛 胡娜[1] 高光[2] Wang Hongtao;Hu Na;Gao Guang(Shandong Provincial ENT Hospital&Shandong Provincial ENT Hospital Affiliated to Shandong University,Jinan 250012,China;Affiliated Hospital of Shandong Academy of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东省耳鼻喉医院,山东大学附属山东省耳鼻喉医院,济南250012 [2]山东省中医药研究院附属医院,济南250014

出　　处：《成都医学院学报》2019年第6期795-799,共5页Journal of Chengdu Medical College

摘　　要：目的探讨导尿管球囊扩张术辅助电刺激治疗环咽肌失弛缓症的疗效。方法选取山东省耳鼻喉医院2016年9月至2018年9月收治的环咽肌失弛缓症患者68例,随机分为两组,其中观察组36例,给予导尿管球囊扩张术辅助电刺激治疗;对照组32例,仅给予电刺激治疗,治疗周期均为5周。观察两组患者治疗后临床疗效、吞咽功能情况,并比较两组患者治疗前、后经视频吞咽造影检查(VFSS)咽部通过时间、吞咽功能评分情况及X线片透视下观察结果。结果治疗前,两组VFSS咽部通过时间、吞咽功能评分情况差异均无统计学意义(P>0.05)。治疗5周后,对照组总有效率(65.63%)低于观察组(91.66%),差异有统计学意义(P<0.05);观察组咽部通过时间较对照组短(P<0.05),观察组吞咽功能评分较对照组较高(P<0.05);观察组可进固体、糊状、流质食物、水的患者均多于对照组,差异有统计学意义(P<0.05)。结论给予环咽肌失弛缓症患者导尿管球囊扩张术辅助电刺激治疗临床疗效显著,可有效提高患者吞咽功能。Objective To study the clinical efficacy of catheter balloon dilatation assisted with electrical stimulation in the treatment of cricopharyngeal achalasia.Methods A total of 68 patients with cricopharyngeal achalasia treated in Shandong Provincial ENT Hospital from September of 2016 to September of 2018 were selected and divided randomly into the observation group with 36 cases and the control group with 32 cases.The observation group was treated with catheter balloon dilation assisted with electrical stimulation,while the control group was treated only with electrical stimulation.The treatment lasted for 5 weeks.The clinical efficacy and swallowing function after treatment were observed in the two groups.The pharyngeal passage time,swallowing function scores and X-ray fluoroscopy results before and after treatment in the two groups were detected by videofluoroscopic swallowing study(VFSS)and compared.Results There were no significant differences in the pharyngeal passage time and swallowing function scores between the observation group and the control group before treatment(P>0.05).After 5 weeks of treatment,the total effective rate of the control group(65.63%)was significantly lower than that of the observation group(91.66)(P<0.05).The pharyngeal passage time of the observation group was significantly shorter than that of the control group(P <0.05).The swallowing function score of the observation group was significantly higher than that of the control group(P<0.05).There were more patients who could eat solid food,pasty food,and liquid food and drink water in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusion Catheter balloon dilation assisted with electrical stimulation has remarkable clinical efficacy in the treatment of cricopharyngeal achalasia and it can effectively improve the swallowing function of patients.

关 键 词：导尿管球囊扩张术 电刺激 环咽肌失弛缓症 吞咽功能 

分 类 号：R743[医药卫生—神经病学与精神病学]