在全喉切除术的男性患者中,吞动力学
Hakan Gölaç1, Fatma E Aydınlı2, Aydan B Dumbak2
1Department of Speech and Language Therapy, Faculty of Health Sciences, Gazi University, Ankara, Türkiye.
The Laryngoscope
|October 7, 2024
概括
在全喉切除术 (TL) 后,近一半的患者出现吞困难. 偏差的动力学参数,如喉过境时间和收缩比率,可能解释这些症状,这就需要在失足症评估中进行动力学评估.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 医疗成像医学成像
背景情况:
- 全喉切除术 (TL) 显著改变了上空消化道的解剖结构.
- 缺食症是TL后常见的并发症,影响生活质量.
- 了解吞动力学对于管理TL后吞功能障碍至关重要.
研究的目的:
- 调查TL患者的症状吞投诉.
- 为了比较TL患者的吞动力学,有或没有消化不良症状.
- 为了确定与TL后吞投诉相关的动力学参数.
主要方法:
- 34名TL患者接受了视频光镜吞研究 (VFSS).
- 使用ImageJ软件分析了吞动力学.
- 关键参数包括喉过境时间 (PTD),最大喉收缩率 (MPCR) 和玻尿酸清除率 (BCR).
主要成果:
- 47.1%的TL患者报告有症状的吞投诉.
- 投诉包括难以使用固体/药片和食物粘在喉.
- 在症状患者中观察到明显更高的PTD,MPCR和BCR.
结论:
- 在近一半的TL患者中,症状性消化不良很普遍.
- 偏差的动力学参数 (PTD,MPCR,BCR) 可能是这些投诉的基础.
- 动力学测量应该被整合到TL患者的功能障碍评估中.
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