口腔颌面部肿瘤术后吞咽障碍的评估和康复管理专家共识  

Expert consensus on the evaluation and management of dysphagia after oral and maxillofacial tumor surgery

作　　者：李小莹 孙沫逸 郭伟[3] 廖贵清[4] 唐瞻贵 李龙江[6] 冉伟 任国欣[3] 孙志军[7] 孟箭[8] 刘绍严[9] 尚伟[10] 张杰[11] 何悦[3] 李春洁[6] 杨凯[12] 龚忠诚 李吉辰 席庆[15] 李刚[16] 韩冰[17] 陈彦平[18] 常群安[19] 吴亚东 麦华明[21] 章杰[22] 冷卫东[23] 夏凌云[23] 吴炜 杨向明 张春谊 杨帆 王艳平 曹田田 LI Xiaoying;SUN Moyi;GUO Wei;LIAO Guiqing;TANG Zhangui;LI Longjiang;RAN Wei;REN Guoxin;SUN Zhijun;MENG Jian;LIU Shaoyan;SHANG Wei;ZHANG Jie;HE Yue;LI Chunjie;YANG Kai;GONG Zhongcheng;LI Jichen;XI Qing;LI Gang;HAN Bing;CHEN Yanping;CHANG Qun'an;WU Yadong;MAI Huaming;ZHANG Jie;LENG Weidong;XIA Lingyun;WU Wei;YANG Xiangming;ZHANG Chunyi;YANG Fan;WANG Yanping;CAO Tiantian(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Medical Rehabilitation,The Third Hospital Affiliated of Air Force Military Medical University,Xi'an 710032;State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Maxillofacial Oncology,The Third Hospital Affiliated of Air Force Military Medical University,Xi'an 710032;Department of Oral and Maxil-lofacial Surgery,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine;Hospital of Stomatology,Sun Yat-sen University;Xiangya Medical School of Stomatology,Central South University,Changsha;State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Head and Neck Oncology,West China Hospital of Stomatology,Sichuan University,Chengdu;School of Stomatology Wuhan University;Xuzhou Central Hospital;Head and Neck Surgery,Cancer Hospital Chinese Academy of Medical Sciences,Beijing;Department of Oral and Maxillofacial Surgery,Affiliated Hospital of Qingdao University;Department of Oral and Maxillofacial Surgery,Peking University School of Stomatology,Beijing;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Chongqing Medical University;School of Stomatology,Xinjiang Medical University,Urumqi;The First Affiliated Hospital of Harbin Medical University;Department of Stomatology,First Medical Center of PLA General Hospital,Beijing;Hospital of

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院医疗康复科,西安710032 [2]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔颌面头颈肿瘤科,西安710032 [3]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科 [4]中山大学附属口腔医院 [5]中南大学湘雅口腔医院 [6]口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院头颈肿瘤外科 [7]武汉大学口腔医学院 [8]徐州市中心医院 [9]中国医学科学院肿瘤医院头颈外科 [10]青岛大学附属医院口腔颌面外科 [11]北京大学口腔医学院口腔颌面外科 [12]重庆医科大学附属第一医院口腔颌面外科 [13]新疆医科大学口腔医学院 [14]哈尔滨医科大学附属第一医院 [15]解放军总医院第一医学中心口腔科 [16]西安交通大学口腔医院 [17]吉林大学口腔医院口腔颌面外科 [18]河北医科大学第四医院暨河北省肿瘤医院 [19]青海大学附属医院 [20]贵州医科大学口腔医学院 [21]广西医科大学附属口腔医院 [22]南昌大学第一附属医院口腔颌面外科 [23]湖北医药学院附属太和医院口腔科

出　　处：《实用口腔医学杂志》2024年第1期5-14,共10页Journal of Practical Stomatology

基　　金：空军军医大学第三附属医院新技术新业务(编号:LX2021-427)。

摘　　要：手术治疗是口腔颌面部肿瘤的主要治疗手段,吞咽障碍是患者术后的常见并发症。吞咽障碍不但可导致误吸、营养不良、吸入性肺炎等严重后果,还可能引发心理问题和社会交往障碍,影响患者的生活质量。目前国内针对口腔颌面部肿瘤术后合并吞咽障碍的问题尚缺乏一个系统的评估和康复治疗管理方案。在前期临床实践的基础上,结合口腔颌面肿瘤患者术后吞咽障碍的特点及总结颌面肿瘤外科和康复领域专家的临床经验,回顾和总结国内外相关文献,组织相关专家经共同讨论,从吞咽障碍的筛查、评估和康复治疗管理的实施方案等核心内容方面达成共识,以期为临床相关工作提供参考。Surgical operation is the main treatment of oral and maxillofacial tumors.Dysphagia is a common postoperative complication.Swallowing disorder can not only lead to mis-aspiration,malnutrition,aspiration pneumonia and other serious consequences,but also may cause psychological problems and social communication barriers,affecting the quality of life of the patients.At present,there is no systematic evaluation and rehabilitation management plan for the problem of swallowing disorder after oral and maxillofacial tumor surgery in China.Combining the characteristics of postoperative swallowing disorder in patients with oral and maxillofacial tumors,summarizing the clinical experience of experts in the field of tumor and rehabilitation,reviewing and summarizing relevant literature at home and abroad,and through joint discussion and modification,a group of national experts reached this consensus including the core contents of the screening of swallowing disorders,the phased assessment of prognosis and complications,and the implementation plan of comprehensive management such as nutrition management,respiratory management,swallowing function recovery,psychology and nursing during rehabilitation treatment,in order to improve the evaluation and rehabilitation of swallowing disorder after oral and maxillofacial tumor surgery in clinic.

关 键 词：口腔颌面部肿瘤 吞咽障碍 康复管理 

分 类 号：R739.8[医药卫生—肿瘤]