远程子总食道切除术后吞安全:舌头压力有多重要?
José Vergara1, Nelson Adami Andreollo2, Heather M Starmer3,4
1Department of Surgery, Head and Neck Surgery, University of Campinas, R. Tessália Vieira de Camargo, 126, Campinas, 13083-887, SP, Brazil. josevergaraherazo12@gmail.com.
Dysphagia
|August 17, 2024
概括
口腔喉乱是次总食道切除术 (SE) 后的常见情况. 减少的舌头强度,以舌头压力来衡量,与不安全的吞有关,并有助于在SE患者的诊断.
科学领域:
- 胃肠道学和外科瘤学
- 语音语言病理学和吞障碍 吞障碍
背景情况:
- 在远程食道切除术后的口腔喉乱仍然不太了解.
- 亚总食管切除术 (SE) 可以影响吞的复杂生物力学.
- 量化SE后的吞功能对于患者管理至关重要.
研究的目的:
- 评估患者报告的消化不良,舌头压力,以及SE后患者的视频光镜吞发现.
- 在远程食道切除术后,识别导致口腔喉乱的因素.
- 在这个人群中评估语言压力评估的诊断效用.
主要方法:
- 使用饮食评估工具 (EAT-10) 评估患者对食障碍的看法.
- 使用爱荷华口腔表现仪测量最大前后同位压力 (MAIP,MPIP) 和舌头吞压力 (LSP).
- 视频光镜 (VFSS) 用于通过修改的吞损伤概况 (MBSImP) 和透吸收量表 (PAS) 来进行生理上吞评估.
主要成果:
- 10名患者中有7人报告有失消化症 (EAT-10>3).
- 所有患者都表现出至少三种MBSImP成分的口腔喉吞受损;两名患者吸入 (PAS 8).
- 在MAIP和MPIP中观察到显著的差异,与喉升高,表关节运动和吸收 (PAS) 损伤相关.
结论:
- 语言压力下降和生理上的吞变化在SE之后很普遍.
- 减少舌头强度是导致食道切除术后吞不安全的潜在因素.
- 语言压力评估提供了有价值的诊断见解,应纳入SE吞后综合性评估.
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