超声引导下肉毒毒素环咽肌注射治疗延髓背外侧综合征所致吞咽障碍1例报道  

Cricopharyngeal Botulinum Toxin Injection under Ultrasonic Guidance for Dysphagia from Wallenberg's Syndrome:A Case Report

作　　者：杨瑛 许梅娜 李相良 谢峦 金海鹏 YANG Ying;XU Mei-na;LI Xiang-liang;XIE Luan;JIN Hai-peng(Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350122,China;College of Acupuncture,Xiamen Hospital of Beijing University of Traditional Chinese Medicine,Xiamen,Fujian 361009,China;Department of Ultrasound Medicine,Xiamen Hospital of Beijing University of Traditional Chinese Medicine,Xiamen,Fujian 361009,China;Acupuncture Rehabilitation Department,Xiamen Hospital of Beijing University of Traditional Chinese Medicine,Xiamen,Fujian 361009,China)

机构地区：[1]福建中医药大学,福建福州市350122 [2]北京中医药大学厦门医院针灸学院,福建厦门市361009 [3]北京中医药大学厦门医院超声医学科,福建厦门市361009 [4]北京中医药大学厦门医院针灸康复科,福建厦门市361009

出　　处：《中国康复理论与实践》2020年第11期1358-1364,共7页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的采用超声引导下肉毒毒素环咽肌注射治疗延髓背外侧综合征所致吞咽障碍。方法回顾本院1例临床资料。结果患者延髓背外侧梗死后,导致环咽肌失弛缓,经常规吞咽治疗和球囊扩张术后未见明显好转,予超声引导下肉毒毒素环咽肌注射,经藤岛一郎摄食-吞咽功能等级量表、Rosenbek渗漏-误吸量表评定和透视荧光吞咽检查分析,吞咽功能改善,治疗后1个月和3个月随访,吞咽功能正常。结论超声引导下肉毒毒素注射治疗延髓背外侧综合征所致环咽肌失弛缓有一定的近期和远期效果。Objective To investigate the effect of cricopharyngeal injection of Botulinum toxin under ultrasonic guidance for treatment of dysphagia caused by Wallenberg's syndrome.Methods A case was reviewed.Results This patient was diagnosed as cricopharyngeal achalasia after dorsal lateral rostral infarction,and responded poor to routine treatment for swallowing disorders,including balloon dilatation.He accepted cricopharyngeal Botulinum toxin injection under ultrasonic guidance.As evaluated with Toshima Ichiro Ingestion-Swallowing Function Rating Scale,Rosenbek Penetration-Aspiration Scale and videofluoroscopic swallowing study(VFSS),his swallowing improved after treatment,and became normal as follow-up one and three months after treatment.Conclusion Cricopharyngeal Botulinum toxin injection under ultrasonic guidance is feasible for cricopharyngeal achalasia of Wallenberg's syndrome with immediate and long-term effect.

关 键 词：延髓背外侧综合征 吞咽障碍 环咽肌失弛缓 肉毒毒素 超声引导 

分 类 号：R743.3[医药卫生—神经病学与精神病学]