Videomanometry of the pharynx in dysphagic patients with laryngeal barium penetration during swallowing.
Videomanometry of the pharynx in dysphagic patients with laryngeal barium penetration during swallowing.
复制标题
吞咽困难患者吞咽时喉部钡剂渗透的咽部视频测压。
DOI：
10.1080/02841859809172454
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Castell,DO
中科院分区：
文献类型：
--
作者：
Olsson,R;Castell,J;Ekberg,O;Castell,DO
目的：本研究采用同时videomanometry测量压力特性的一组患者的证据，喉和/或气管钡渗透，并比较结果的一组健康志愿者和一组患者吞咽困难，但一个正常的钡swallow.Material和方法：Videomanometry在钡吞咽过程中进行了25例患者谁表现出钡渗透到喉前庭。通过将这些平均值与25名健康志愿者的平均值进行比较来确定测压异常，并将测压异常的频率与19名正常钡吞咽的口咽吞咽困难患者进行比较。四个参数的异常频率（咽-食管段（PES）静息压，PES松弛持续时间，咽峰压，咽收缩持续时间）在具有穿透性的患者和具有正常钡剂研究的患者之间显著不同。有，但是，没有相关性之间的测压异常和钡penetration.Conclusion的程度：与喉渗透和正常钡吞咽患者之间的测压异常的差异可能是有用的，在确定喉渗透的机制。
Purpose: This study used simultaneous videomanometry to measure pressure characteristics in a group of patients with evidence of laryngeal and/or tracheal barium penetration, and to compare the results to those of one group of healthy volunteers and one group of patients with dysphagia but a normal barium swallow.Material and Methods: Videomanometry during barium swallowing was performed in 25 patients who showed penetration of barium into the laryngeal vestibule. Manometric abnormalities were determined by comparing these mean values with those of 25 healthy volunteers, and the frequency of manometric abnormalities was compared to that of 19 patients presenting with oropharyngeal dysphagia with a normal barium swallow.Results: The frequency of abnormalities for four parameters (pharyngo-eso-phageal segment (PES) resting pressure, PES relaxation duration, pharyngeal peak pressure, pharyngeal contraction duration) differed significantly between the patients with penetration and those with normal barium studies. There was, however, no association between manometric abnormalities and the degree of barium penetration.Conclusion: The differences in manometric abnormalities between patients with laryngeal penetration and patients with normal barium swallows may be useful in identifying the mechanisms of laryngeal penetration.