Stroudley J, Walsh M
Radiology Department, Charing Cross Hospital, London, UK.
Br J Radiol. 1991 Oct;64(766):890-3. doi: 10.1259/0007-1285-64-766-890.
Videofluoroscopy was used to examine swallowing in 24 patients with Parkinson's disease and dysphagia. Motility patterns for liquids, semi-solids and solid foods were classified into oral, pharyngeal and oesophageal phases. Abnormalities in swallowing were demonstrated in 92% of patients in the oral phase, 54% in the pharyngeal phase and 8% in the oesophageal phase. Tracheal aspiration occurred in 46%. These abnormalities were more marked with liquids than with semi-solids or solids. Abnormalities of swallowing are common in Parkinsonian patients with dysphagia. Videofluoroscopy is the appropriate method of investigation.
采用电视荧光吞咽造影检查24例帕金森病伴吞咽困难患者的吞咽情况。将液体、半固体和固体食物的运动模式分为口腔期、咽期和食管期。92%的患者在口腔期出现吞咽异常，54%在咽期，8%在食管期。46%的患者发生气管误吸。这些异常在液体吞咽时比半固体或固体吞咽时更明显。吞咽异常在帕金森病伴吞咽困难患者中很常见。电视荧光吞咽造影是合适的检查方法。
