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

  • Li-chun WANG ,
  • Bao-chao TIAN ,
  • Jie LIU ,
  • Liu LÜ ,
  • Feng-hui HUANG ,
  • Hong-li ZHANG ,
  • Li-juan JIA ,
  • Wei MIAO
Expand
  • 1. a. Department of Rehabilitation Medicine; b. Ultrasonography Room; c. Rehabilitation Department, Hebei Cangzhou Hospital of Integrated Chinese Traditional and Western Medicine, Cangzhou, Hebei 061000, China

Received date: 2019-06-18

  Revised date: 2019-08-01

  Online published: 2020-02-07

Abstract

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.

Cite this article

Li-chun WANG , Bao-chao TIAN , Jie LIU , Liu LÜ , Feng-hui HUANG , Hong-li ZHANG , Li-juan JIA , Wei MIAO . Ultrasound- and Electrical Stimulation-guided Botulinum Toxin Injection for Cricopharyngeal Achalasia Dysphagia: A Case Report[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020 , 26(1) : 102 -105 . DOI: 10.3969/j.issn.1006-9771.2020.01.018

References

[1] 李飞, 汤敬一, 程红亮, 等. 针刺加冷刺激配合舌肌训练对脑卒中吞咽障碍患者的康复疗效评价[J]. 中华中医药杂志, 2012, 27(9):2471-2474.
[2] 宋艳平. 脑卒中患者经鼻及口行球囊扩张术治疗环咽肌失弛缓症的疗效[J]. 中国实用神经疾病杂志, 2014, 17(17):124-125.
[3] 龚淑梅, 李国荣, 曾西. 间歇口-胃管饲法在脑卒中吞咽障碍患者吞咽训练中的应用[J]. 中国实用神经疾病杂志, 2012, 15(18):23-25.
[4] 唐跃群. 针刺配合康复训练治疗吞咽障碍的临床疗效观察[C]. 2017国际数字医学会数字中医药分会论文集, 2017: 1.
[5] 刘晟, 孟宪梅. 神经肌肉电刺激治疗脑卒中后吞咽障碍的研究进展及启示[J]. 护理研究, 2019, 33(1):63-67.
[6] 朱海霞, 李一贤, 张琰, 等. 球囊扩张术对脑卒中后吞咽障碍康复疗效及不良并发症研究[J]. 中国康复, 2018, 33(4):275-278.
[7] 朱智文, 尹德铭, 方向延, 等. 经颅超声、激光联合神经肌肉电刺激治疗对脑卒中患者生活质量与肢体功能的影响[J]. 中国医学创新, 2017, 14(23):42-45.
[8] 陈丹. 不同频率电针治疗脑卒中后假性球麻痹吞咽障碍的临床研究[D]. 南京:南京中医药大学, 2018.
[9] 刘奥, 秦茵. 物理因子治疗在脑卒中吞咽障碍中的应用[J]. 神经损伤与功能重建, 2014, 9(6):519-521.
[10] Fashner J, Gitu A C. Common gastrointestinal symptoms: dysphagia[J]. FP Essent, 2013, 413:11-15.
[11] 徐淑芬, 柴文娟, 徐勤容. 想象训练对脑卒中神经性吞咽障碍患者近期生活质量及吞咽功能的影响[J]. 中华全科医学, 2019, 17(6):1018-1020, 1028.
[12] 于飞. 内镜下注射肉毒杆菌毒素治疗环咽性咽下困难[J]. 国外医学耳鼻咽喉科学分册, 2003(5):312.
[13] 岳寿伟, 怀娟, 关家文, 等. 食管球囊造影联合CT引导下环咽肌肉毒毒素注射治疗脑干损伤后吞咽障碍1例报告[J]. 中国康复医学杂志, 2017, 32(9):1046-1048.
[14] 林晓婷, 杨海云, 栗晓, 等. 超声引导肉毒毒素注射治疗环咽肌功能障碍探讨[J]. 中山大学学报(医学版), 2018, 39(3):472-476.
[15] Terre R, Vallès M, Panadés A, et al. Long-lasting effect of a single Botulinum toxin injection in the treatment of oropharyngeal dysphagia secondary to upper esophageal sphincter dysfunction: a pilot study[J]. Scand J Gastroenterol, 2008, 43(11):1296-1303.
[16] 杜鹃, 董超. 脑卒中后吞咽障碍的临床研究进展[J]. 西南军医, 2012, 14(3):516-518.
[17] 邓红琼, 李宁. 脑卒中后吞咽障碍的发生机制研究进展[J]. 中华老年心脑血管病杂志, 2014, 16(9):1000-1001.
[18] Karp B I, Alter K. Botulinum toxin treatment of blepharospasm, orofacial/oromandibular dystonia, and hemifacial spasm[J]. Semin Neurol, 2016, 36(1):84-91.
[19] Atkinson S I, Rees J. Botulinum toxin for cricopharyngeal dysphagia: a case reports of CT-guided injection[J]. J Otolaryngol, 1997, 26(4):273-276.
[20] 张学敏, 毕胜, 许亚飞, 等. 超声引导下A型肉毒毒素注射治疗脑干梗死环咽肌失弛缓症1例报告[J]. 中国康复医学杂志, 2019, 34(2):216-218.
[21] Holmes D R, Reddy V Y, Turi Z G, et al. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial[J]. Lancet, 2009, 374(9689):534-542.
Outlines

/

〈 〉