Electromyographic, Xーray and Manometric Investigation of Deglutition

吞咽肌电图、X 射线和测压检查

• 批准号: 01570967
• 负责人: YOSHIDA Tetsuji
• 金额: $ 0.19万
• 依托单位: Kurume University, School of Medicine
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (C)
• 财政年份: 1989
• 资助国家: 日本
• 起止时间: 1989 至 1990
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-01570967/
• 关键词: Deglutition; Dysphagia; Electromyography; Fluorography; Manometry; Second stage; 頭頸部癌術後例; 内圧; 咽頭食道内圧; X線食道透視; 多元的同時記録

Normal deglutition was investigated by the use of a new system of apparatus which enables simultaneous recordings of electromyography and manometry superimposed of fluoroscopic X-ray images. Two normal male adults served as subjects.Wide resection of the primary lesion is indicated to increase the cure rate for advanced cases of carcinoma of the oral cavity and oropharynx. Wider resections frequently pose deglutition problems and compromise the quality of life. Postoperative swallowing problems were investigated in a total of 43 patients of oral cavity carcinoma and 55 patients of oropharynx carcinoma. In the case of oral cavity carcinoma, extensive removal of the tongue base and removal of the lateral pharyngeal wall were significantly related to poor swallowing function. In the cases where wide resection of the soft palate and lateral wall of the oropharynx were undergone in addition to partial glossectomy, swallowing function could not be preserved.

通过使用一种新的仪器系统来研究正常的吞咽，该仪器系统能够同时记录肌电和测压叠加荧光X光图像。以两名正常成年男性为研究对象，指出扩大原发灶切除可提高晚期口腔及口咽癌的治愈率。更大范围的切除经常会造成吞咽问题，并影响生活质量。对43例口腔癌患者和55例口咽癌患者的术后吞咽问题进行了调查。在口腔癌中，广泛切除舌根和切除咽侧壁与吞咽功能不良显著相关。在舌部分切除的基础上，广泛切除软腭部和口咽外侧壁，不能保留吞咽功能。

项目成果

MINORU HIRANO: "Dysphagia Following Extensive Oral Cancer Surgery"

MINORU HIRANO：“大范围口腔癌手术后的吞咽困难”

Yasunao Kuroiwa: "Postoperative swallowing function for carcinoma of the oropharynx" Elsevier Science Publishers. 379-380 (1990)

Yasunao Kuroiwa：“口咽癌术后吞咽功能”爱思唯尔科学出版社。

吉田 哲二: "嚥下障害とその治療" 綜合臨床. 38. 2335-2336 (1989)

Tetsuji Yoshida：“吞咽困难及其治疗”Sogo Klin 38. 2335-2336 (1989)。

吉田 哲二: "頭頸部手術時における嚥下障害の誤嚥防止術" 耳喉頭頸. 62. 397-399 (1990)

Tetsuji Yoshida：“头颈手术期间吞咽困难的误吸预防技术”Otoraryngology and Neck 62. 397-399 (1990)。

YASUNAO KUROIWA: "Postoperative Swallowing Function for Carcinoma of the Oropharynx" Elsevier Science Publishers B.V.379-380 (1990)

YASUNAO KUROIWA：“口咽癌术后吞咽功能”Elsevier Science Publishers B.V.379-380 (1990)