目的 探讨CT引导下肉毒毒素环咽肌注射治疗1例真性延髓麻痹所致吞咽障碍患者的效果。 方法 回顾1例真性延髓麻痹所致吞咽障碍患者的临床资料，采用CT引导进行肉毒毒素环咽肌注射。 结果 患者脑干梗死后出现吞咽障碍，诊断为真性延髓麻痹。予以吞咽障碍常规康复治疗及球囊扩张术，临床效果良好，因患者病情反复3次，予以CT引导下肉毒毒素环咽肌注射，临床疗效显著，随访未再出现病情反复。 结论 CT引导下肉毒毒素环咽肌注射治疗真性延髓麻痹所致吞咽障碍临床疗效显著，出现病情反复可能性小。
Objective To explore the effect of CT-guided Botulinum toxin injection into cricopharynx muscle on dysphagia caused by true bulbar palsy. Methods A case of dysphagia caused by true bulbar palsy was treated with CT-guided Botulinum toxin injection and its therapeutic effect was reported. Results The patient had dysphagia after brainstem infarction and was diagnosed as true bulbar palsy. After routine rehabilitation of dysphagia and balloon dilatation, her dysphagia relieved, but reappeared three times. Botulinum toxin was injected into the loop pharynx muscle under the guidance of CT, the clinical effect was remarkable, and no recurrence of the disease appeared in the follow-up. Conclusion CT-guided Botulinum toxin injection into cricopharyngeus is effective on dysphagia caused by true medullary palsy, and the probability of recurrence is small.
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