吞压力和唾液残留物之间的关系在喉失症内镜评估中
Shun-Ichi Chitose1, Mioko Fukahori1, Takashi Kurita1
1Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
The Laryngoscope
|February 23, 2024
概括
这项研究发现,患有喉乱症的患者的骨中含有较高量的吞后唾液残留物 (SR) 与较弱的喉压力有关. 这种关联在口腔关节水平上特别明显.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 神经学 神经学
背景情况:
- 喉功能障碍的特点是喉收缩受损和食道上 (UES) 功能障碍,导致吞后的唾液残留物 (SR).
- 吞灵活内镜评估 (FEES) 是评估吞功能的关键诊断工具.
研究的目的:
- 为了研究吞压力与谷和状鼻中SR的数量之间的关系.
- 为了将高分辨率测量结果与基于FEES的SR分数和喉乱患者的Hyodo分数相关联.
主要方法:
- 费用被用来等级SR在valleculae和piriform鼻.
- 高分辨率计量仪在吞过程中测量了各种喉和UES区域的压力.
- 分析了26名患有瓦伦伯格综合征和喉乱的患者的数据.
主要成果:
- 谷状SR得分与口腔喉压力和口腔喉/口腔喉偏远收缩整数 (DCI) 有显著的负相关性.
- 与唾液聚合和喉清除相关的Hyodo分数与下喉压力和周围静脉速度相关.
- 在SR得分和UES压力数据之间没有发现显著的相关性.
结论:
- 谷口内增加的SR,但不是状鼻,与喉不通症的喉压力降低有关.
- 口腔大压力是影响谷中SR的一个关键因素.
- 基于FEES的SR评分与测量仪相结合,为喉乱的病理生理学提供了宝贵的见解.
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