Rugiu M G
Otorhinolaryngology Unit, Universiy Hospital S.ta Maria della Misericordia, Udine, Italy.
Acta Otorhinolaryngol Ital. 2007 Dec;27(6):306-16.
For many years, videofluoroscopy was considered the gold standard for studies on swallowing disorders, and only recently has its role been challenged, due primarily to the widespread use of videoendoscopy in the evaluation of dysphagia. Albeit, videofluoroscopy still maintains its key role in this area and, in particular, in studies on dysphagia of neurological origin, on account not only of the possibility, with this procedure, to achieve complete and dynamic evaluation of all phases of deglutition, but also the high sensitivity and specificity in revealing the presence of inhalation. Aim of the present investigation was to analyse the technical procedure of videofluoroscopy and the principal indications in the study of dysphagia of neurological origin, in the attempt to reveal the advantages and disadvantages occurring in this examination, also with respect to other methods adopted in the evaluation of dyphagia. In conclusion, at present, no instrumental examination can be defined as ideal for the study of swallowing, but it can be seen that, with each of these procedures, the information forthcoming is actually complementary, thus achieving the aim to proceed as correctly and rapidly as possible, with the management of patients with dysphagia.
多年来，视频荧光吞咽造影检查一直被视为吞咽障碍研究的金标准，只是最近其地位受到了挑战，这主要是由于视频内镜检查在吞咽困难评估中得到广泛应用。尽管如此，视频荧光吞咽造影检查在该领域仍保持着关键作用，尤其是在神经源性吞咽困难的研究中，这不仅是因为通过该检查能够对吞咽的各个阶段进行完整且动态的评估，还因为其在发现误吸方面具有较高的敏感性和特异性。本研究的目的是分析视频荧光吞咽造影检查的技术流程以及在神经源性吞咽困难研究中的主要适应证，试图揭示该检查相对于其他吞咽困难评估方法所存在的优缺点。总之，目前尚无一种仪器检查可被定义为吞咽研究的理想方法，但可以看出，通过这些检查中的每一种所获得的信息实际上是互补的，从而实现了在吞咽困难患者管理中尽可能正确且快速地进行诊断的目标。
