Bülow Margareta, Olsson Rolf, Ekberg Olle
Department of Diagnostic Radiology, Malmö University Hospital, Lund University, Sweden.
Dysphagia. 2002 Summer;17(3):197-201. doi: 10.1007/s00455-002-0050-y.
Simultaneous videoradiography and solid-state manometry (videomanometry) were performed in 8 patients (4 women, 4 men; age range = 46-81 years, mean age = 70 years) with pharyngeal dysfunction in order to disclose any changes in intrabolus pressure during swallowing maneuvers. Five of the patients had severe pharyngeal dysfunction with frequent misdirected swallows. Three of the patients had moderate pharyngeal dysfunction with delayed initiation of pharyngeal swallow. Three different swallowing techniques were applied: supraglottic swallow, effortful swallow, and chin tuck. Pharyngeal intrabolus pressure was analyzed at the level of the inferior pharyngeal constrictor. Supraglottic swallow, effortful swallow, and chin tuck did not alter peak amplitude or duration of the intrabolus pressure.
对8例(4例女性,4例男性;年龄范围46 - 81岁,平均年龄70岁)存在咽功能障碍的患者进行了同步视频放射成像和固态测压法(视频测压法),以揭示吞咽动作期间食团内压力的任何变化。其中5例患者存在严重的咽功能障碍,吞咽频繁误向。3例患者存在中度咽功能障碍,咽吞咽起始延迟。应用了三种不同的吞咽技巧:声门上吞咽、用力吞咽和收下巴。在下咽缩肌水平分析食团内压力。声门上吞咽、用力吞咽和收下巴均未改变食团内压力的峰值幅度或持续时间。