《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (09): 831-832.

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导尿管球囊扩张治疗环咽肌失弛缓症1例报道

卫冬洁; 张庆苏; 李胜利   

  1. 中国康复研究中心北京博爱医院听力语言科,首都医科大学康复医学院 100068
  • 收稿日期:2007-08-21 出版日期:2007-09-01 发布日期:2007-09-01

Catheter Sacculus Expanding Therapy for Cricopharyngeal Achalasia:A Case Report

WEI Dong-jie, ZHANG Qing-su, LI Sheng-li   

  1. Department of Speech-hearing Rehabilitation, BeijingCharity Hospital, ChinaRehabilitation Research Centre, Schoolof Rehabilitation, Capital Medical University, Beijing 100068, China
  • Received:2007-08-21 Published:2007-09-01 Online:2007-09-01

摘要: 目的探讨导尿管球囊扩张治疗环咽肌失弛缓症的可行性。方法报道1例因脑梗死致环咽肌失弛缓症利用导尿管球囊扩张治疗的临床经过。结果经38次扩张治疗后,患者可独立自主进食,无呛咳。吞咽造影复查显示在食团通过时,环咽肌正常开放,误吸消失。结论导尿管球囊扩张术能有效缓解环咽肌失弛缓,操作简单,安全可靠。

关键词: 环咽肌失弛缓症, 吞咽障碍, 球囊扩张术

Abstract: Objective To explore the feasibility of catheter sacculus expanding therapy for cricopharyngeal achalasia.Methods A patient cricopharyngeal achalasia after cerebral infarction treated with catheter sacculus expanding was reported.Results After 38 times expanding therapy,the patient could eat by himself without choke and whoosh.Video fluoroscopic(VF)showed that the cricopharyngeal muscle can open normally when the food went through.And there is no any aspiration.Conclusion Catheter sacculus expanding therapy can improve cricopharyngeal achalasia effectively,and can be applied easily,safe and reliable.

Key words: cricopharyngeal achalasia, swallowing disorder, catheter sacculus expanding therapy