患有喉,喉,食道裂的儿童的肺部疾病
Emily A Hosfield1, Hannah C Patten1, Puanani E Hopson2
1Division of Speech Pathology, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Pediatric pulmonology
|September 12, 2025
概括
喉喉食道裂 (LTEC) 经常导致肺部疾病,但标准的吞研究无法预测它. 修复LTEC可能会改善食和吞,尽管肺部健康需要单独评估.
科学领域:
- 儿科空气消化系统疾病
- 肺部医学 肺部医学
- 胃肠病学 胃肠病学
背景情况:
- 喉外食道裂 (LTEC) 与吸收和食问题有关.
- 目前的评估方法,如吞研究和症状监测,对于预测疾病严重程度是不可靠的.
- 肺炎和损伤是LTEC的重要问题,但评估不一致.
研究的目的:
- 调查吞研究结果与LTEC儿童肺部疾病之间的相关性.
- 为了确定临床因素或吞研究结果是否预测肺部疾病的严重程度.
- 评估喉喉食道裂修复对食,吞和肺部结果的影响.
主要方法:
- 在2012年至2023年期间评估的82名LTEC儿童的回顾性队列研究.
- 包括视频光镜吞研究 (VFSS) 或柔性内镜吞评估 (FEES) 数据.
- 收集了关于临床病史,风险因素,支气管洗 (BAL),胸部CT,阻抗探测器和吞得分 (FOIS-P/I) 的数据.
主要成果:
- 肺炎和支气管炎症在LTEC患者中是常见的和相关的.
- 临床因素,阻抗结果和吞研究异常没有预测肺部疾病.
- 在57名患者中进行的LTEC修复显示了饮食和吞的适度改善,但CT或BAL发现仅显示了49%.
结论:
- 患有LTEC的儿童患有炎症性肺病的患病率很高.
- 吞研究确定了功能性吞缺陷,但不能可靠地预测肺部的参与.
- 修复LTEC可能有利于食和吞,但不治疗潜在的肺部疾病,需要单独的评估和管理.
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