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女性甲状腺切除患者吞咽时舌骨的运动:一项运动学超声研究

Hyoid Bone Movement During Swallowing in Female Thyroidectomy Patients: A Kinematic Ultrasound Study.

作者信息

Magalhães Desiré Dominique Diniz de, Bandeira Jayne de Freitas, Costa Bianca Oliveira Ismael da, Santos Ary Serrano, Santos Ricardo Vieira, da Silva Hilton Justino, Junior Hipólito Virgílio Magalhães, Pernambuco Leandro

机构信息

Graduate Program in Speech, Language and Hearing Sciences (PPgFon-UFPB), Universidade Federal da Paraíba (UFPB), Campus I s/n, Cidade Universitária, João Pessoa, PB, 58051-900, Brazil.

Lauro Wanderley University Hospital (HULW/EBSERH), Universidade Federal da Paraíba (UFPB), R. Tabelião Stanislau Eloy, 585, Castelo Branco, João Pessoa, PB, 58050-585, Brazil.

出版信息

Dysphagia. 2024 Oct;39(5):956-963. doi: 10.1007/s00455-024-10676-4. Epub 2024 Mar 4.

DOI:10.1007/s00455-024-10676-4
PMID:38436670
Abstract

The aim of this study was to investigate the measures of displacement, time and velocity of hyoid bone movement in female thyroidectomy patients. Fifty-eight ultrasound videos of 29 women during swallowing were analyzed. The sample was divided into experimental group (EG), composed of 12 women following total or partial thyroidectomy; and control group (CG) of 17 healthy women. The kinematic measures of displacement, time and velocity of hyoid bone displacement were tracked during swallowing of 10 ml of liquid (water) and 10 ml of thickened liquid (honey) in both groups for comparisons. Additional analysis included bolus consistency effect and relationship with clinical characteristics. Ultrasound videos were analyzed according to a standardized protocol using ImageJ software. Displacement, time and velocity of hyoid movement during swallowing of 10 ml of liquid or thickened liquid were not statistically different between female thyroidectomy patients and healthy women. There is no bolus consistency effect on kinematic measures in both groups, but among thyroidectomy patients, velocity of hyoid bone movement is significantly faster in those with swallowing complaints.

摘要

本研究旨在调查女性甲状腺切除患者舌骨运动的位移、时间和速度测量值。分析了29名女性吞咽过程中的58段超声视频。样本分为实验组(EG),由12名接受全甲状腺切除或部分甲状腺切除的女性组成;以及17名健康女性的对照组(CG)。在两组患者吞咽10毫升液体(水)和10毫升增稠液体(蜂蜜)的过程中,追踪舌骨位移的位移、时间和速度的运动学测量值以进行比较。额外的分析包括食团稠度效应以及与临床特征的关系。使用ImageJ软件根据标准化方案分析超声视频。女性甲状腺切除患者和健康女性在吞咽10毫升液体或增稠液体时舌骨运动的位移、时间和速度在统计学上无差异。两组在运动学测量方面均无食团稠度效应,但在甲状腺切除患者中,有吞咽主诉者舌骨运动速度明显更快。

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本文引用的文献

1
Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review.甲状腺切除术后的嗓音和吞咽障碍及其与喉咽反流的关联:一项范围综述
Laryngoscope Investig Otolaryngol. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. eCollection 2023 Feb.
2
Swallowing Problems after Thyroidectomy.甲状腺切除术后的吞咽问题。
Int Arch Otorhinolaryngol. 2021 Oct 20;26(3):e327-e333. doi: 10.1055/s-0041-1730302. eCollection 2022 Jul.
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Temporal measures of oropharyngeal swallowing events identified using ultrasound imaging in healthy young adults.
使用超声成像技术在健康年轻成年人中识别口咽吞咽事件的时间测量。
PLoS One. 2022 Jun 28;17(6):e0270704. doi: 10.1371/journal.pone.0270704. eCollection 2022.
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Swallowing disorders after thyroidectomy: a systematic review and meta-analysis.甲状腺切除术后吞咽障碍:系统评价和荟萃分析。
Eur Arch Otorhinolaryngol. 2022 Sep;279(9):4213-4227. doi: 10.1007/s00405-022-07386-8. Epub 2022 Apr 19.
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Reliability of Ultrasound Examination of Hyoid Bone Displacement Amplitude: A Systematic Review and Meta-Analysis.舌骨位移幅度超声检查的可靠性:系统评价和荟萃分析。
Dysphagia. 2022 Dec;37(6):1375-1385. doi: 10.1007/s00455-022-10429-1. Epub 2022 Mar 1.
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Thyroidectomy-related Swallowing Difficulties: Review of the Literature.甲状腺切除术相关吞咽困难:文献综述。
Acta Clin Croat. 2020 Jun;59(Suppl 1):38-49. doi: 10.20471/acc.2020.59.s1.05.
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Automatic Hyoid Bone Tracking in Real-Time Ultrasound Swallowing Videos Using Deep Learning Based and Correlation Filter Based Trackers.基于深度学习和相关滤波器的实时超声吞咽视频中舌骨自动跟踪。
Sensors (Basel). 2021 May 26;21(11):3712. doi: 10.3390/s21113712.
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Ultrasound: Validity of a Pocket-Sized System in the Assessment of Swallowing.超声:口袋大小系统在吞咽评估中的有效性。
Dysphagia. 2021 Dec;36(6):1010-1018. doi: 10.1007/s00455-020-10232-w. Epub 2021 Jan 2.
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Variations in Hyoid Kinematics Across Liquid Consistencies in Healthy Swallowing.健康吞咽过程中舌骨运动学在不同液体黏稠度下的变化
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Decreased swallowing function in the sarcopenic elderly without clinical dysphagia: a cross-sectional study.肌少症老年人中无临床吞咽困难但吞咽功能下降:一项横断面研究。
BMC Geriatr. 2020 Oct 21;20(1):419. doi: 10.1186/s12877-020-01832-0.