超声联合电刺激定位肉毒毒素注射治疗环咽肌失弛缓性吞咽困难1例  

Ultrasound-and Electrical Stimulation-guided Botulinum Toxin Injection for Cricopharyngeal Achalasia Dysphagia: A Case Report

作　　者：王利春[1] 田宝超 刘杰 吕柳 黄凤慧 张洪丽[1] 贾丽娟[3] 苗维[1] WANG Li-chun;TIAN Bao-chao;LIU Jie;LU Liu;HUANG Feng-hui;ZHANG Hong-li;JIA Li-juan;MIAO Wei(Department of Rehabilitation Medicine,Hebei Cangzhou Hospital of Integrated Chinese Traditional and Western Medicine,Cangzhou,Hebei 061000,China;Ultrasonography Room,Hebei Cangzhou Hospital of Integrated Chinese Traditional and Western Medicine,Cangzhou,Hebei 061000,China;Rehabilitation Department,Hebei Cangzhou Hospital of Integrated Chinese Traditional and Western Medicine,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彩超室,河北沧州市061000 [3]河北省沧州中西医结合医院康复治疗科,河北沧州市061000

出　　处：《中国康复理论与实践》2020年第1期102-105,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨超声引导联合电刺激定位注射A型肉毒毒素治疗脑梗死后环咽肌失弛缓所致吞咽困难的疗效。方法回顾1例环咽肌失弛缓型吞咽困难患者的临床资料。结果注射后6 d基本可正常进食,7 d吞咽造影显示环咽肌明显开放。结论超声引导联合电刺激定位注射A型肉毒毒素治疗环咽肌失弛缓所致吞咽困难临床疗效明显。Objective To apply Botulinum toxin type A(BTX-A)injection for cricopharyngeal achalasia dysphagia guided by ultrasound and electrical stimulation.Methods A case with cricopharyngeal achalasia dysphagia was reviewed.Results He ate food almost in normal way six days after injection,and cricopharyngeus was open seven days after injection.Conclusion BTX-A injection under ultrasound-and electrical stimulation-guide is effective on cricopharyngeal achalasia dysphagia.

关 键 词：吞咽困难 A型肉毒毒素 环咽肌失弛缓 超声定位 电刺激定位 

分 类 号：R743.3[医药卫生—神经病学与精神病学]