Lacau St Guily J, Baril P, Tome F, Chaussade S, Ponsot P
Service d'ORL, Hôpital Tenon, Paris.
Ann Otolaryngol Chir Cervicofac. 1990;107(8):542-6.
Swallowing disorders have been studied in seven patients with oculopharyngeal myopathy. All patients presented with symptoms dominated by solid food dysphagia and false passages. Two of them had a considerably deteriorated general and pulmonary condition. Manometry demonstrates a decrease in pharyngeal populsion in six patients but does not detect any anomaly in the function of the upper sphincter of the esophagus. Three patients were operated with myotomy of the cricopharyngeus. The procedure led to the disappearance of the disorders in two of them, while it was a failure in the third. Swallowing disorders, the difficulties of manometric exploration and the role of myotomy are discussed in this article.
对7例眼咽型肌病患者的吞咽障碍进行了研究。所有患者均以固体食物吞咽困难和食物误入歧途为主要症状。其中2例患者的全身状况和肺部状况明显恶化。食管测压显示6例患者的咽部推进力下降,但未检测到食管上括约肌功能异常。3例患者接受了环咽肌切开术。该手术使其中2例患者的吞咽障碍消失,而第3例患者手术失败。本文讨论了吞咽障碍、测压检查的困难以及肌切开术的作用。