Chaves Rosane de Deus, Mangilli Laura Davison, Sassi Fernanda Chiarion, Jayanthi Shri Krishna, Zilberstein Bruno, de Andrade Claudia Regina Furquim
Arq Bras Cir Dig. 2013 Nov-Dec;26(4):274-9. doi: 10.1590/s0102-67202013000400005.
Videofluoroscopy is considered the "gold standard" procedure for the evaluation of swallowing by most units that treat patients with dysphagia, having a great impact in decision making, not only in therapeutic terms, but also in determining the prognosis.
To propose and to verify the reproducibility of the results of a perceptual two-dimensional videofluoroscopic protocol for the analysis of the pharyngeal phase of swallowing in a population of healthy adults.
Participants were 20 healthy adults, of both genders, with ages between 50 and 65 years. Videofluoroscopy was performed during the swallow of the following consistencies: 10 ml of liquid; 7 ml of paste; and half a "salt and water" biscuit. The protocol was composed by four parts: assessment of the pharyngeal transit time; assessment of the duration of the tongue base movement to the posterior pharyngeal wall; valleculae residue ratio; assessment of penetration/aspiration. Statistical analysis involved the assessment of data reproducibility between raters and analysis of the quantitative data regarding gender.
Comparison among raters indicated that data was highly reproducible. No significant differences were found between genders for pharyngeal transit time; for the duration of the tongue base movement to the posterior pharyngeal wall; and for the valleculae residue ratio.
The perceptual two-dimensional videofluoroscopy analysis demonstrated to be a reproducible method. Valleculae residue was present in 40% of the study sample, suggesting that this parameter alone does not indicate alterations of the pharyngeal phase of swallowing.
对于大多数治疗吞咽困难患者的单位而言，视频荧光吞咽造影检查被视为评估吞咽功能的“金标准”程序，它不仅在治疗决策方面，而且在判断预后方面都具有重大影响。
提出并验证一种用于分析健康成年人群吞咽咽期的二维视频荧光吞咽造影感知方案结果的可重复性。
研究对象为20名年龄在50至65岁之间的健康成年人，男女皆有。在吞咽以下不同稠度的物质时进行视频荧光吞咽造影检查：10毫升液体；7毫升糊状食物；半块“盐水”饼干。该方案由四个部分组成：评估咽传输时间；评估舌根向后咽壁移动的持续时间；会厌谷残留率；评估渗透/误吸情况。统计分析包括评估评分者之间数据的可重复性以及分析有关性别的定量数据。
评分者之间的比较表明数据具有高度可重复性。在咽传输时间、舌根向后咽壁移动的持续时间以及会厌谷残留率方面，性别之间未发现显著差异。
二维视频荧光吞咽造影感知分析被证明是一种可重复的方法。40%的研究样本存在会厌谷残留，这表明仅该参数并不能表明吞咽咽期存在异常。
