喉气管闭合术及环咽肌切开术治疗脑血管意外继发的顽固性误吸和吞咽困难
Laryngotracheal closure and cricopharyngeal myotomy for intractable aspiration and dysphagia secondary to cerebrovascular accident.
作者信息
Qu Shen-Hong, Li Min, Liang Jian-Ping, Su Zheng-Zhong, Chen Shi-Qiang, He Xiao-Guang
机构信息
Department of Otolaryngology, People's Hospital of GuangXi Zhuang Autonomous Region, Nanning, PR China.
出版信息
ORL J Otorhinolaryngol Relat Spec. 2009;71(6):299-304. doi: 10.1159/000260182. Epub 2009 Nov 24.
OBJECTIVE
To investigate the clinical value, technique, indications and contraindications of laryngotracheal closure (LTC) and cricopharyngeal myotomy (CPM) for intractable aspiration and dysphagia secondary to a cerebrovascular accident (CVA).
MATERIALS AND METHODS
Patients (n = 45) with intractable aspiration and dysphagia secondary to a CVA were treated with LTC and CPM. The LTC was performed by suturing the double cords, and packing the strap muscle flap into the subglottic tracheal cavity.
RESULTS
Intractable aspiration was completely eradicated in all patients. The swallowing function was partially improved, and the patients' quality of life was greatly improved. It became easier to care for these patients after surgery.
CONCLUSIONS
LTC and CPM are suitable for intractable aspiration and dysphagia secondary to a CVA.
目的
探讨喉气管闭合术（LTC）和环咽肌切开术（CPM）治疗脑血管意外（CVA）继发顽固性误吸和吞咽困难的临床价值、技术、适应证及禁忌证。
材料与方法
对45例CVA继发顽固性误吸和吞咽困难的患者行LTC和CPM治疗。LTC通过缝合双侧声带，并将带状肌瓣填充至声门下气管腔来实施。
结果
所有患者的顽固性误吸均完全消除。吞咽功能部分改善，患者生活质量大幅提高。术后护理这些患者变得更加容易。
结论
LTC和CPM适用于CVA继发的顽固性误吸和吞咽困难。
Zotero 插件