吞咽困难吞咽功能的内镜及电视荧光透视评估：一项系统综述
Endoscopic and videofluoroscopic evaluations of swallowing for dysphagia: A systematic review.
作者信息
Ferrari de Castro Mario Augusto, Dedivitis Rogério Aparecido, Luongo de Matos Leandro, Baraúna José Carlos, Kowalski Luiz Paulo, de Carvalho Moura Kauê, Herman Partezani Daniel
机构信息
Universidade Metropolitana de Santos, Departamento de Cirurgia de Cabeça e Pescoço, Santos, SP, Brazil.
Universidade de São Paulo, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2025 Apr 9;91 Suppl 1(Suppl 1):101598. doi: 10.1016/j.bjorl.2025.101598.
OBJECTIVE
This systematic review was performed to compare the diagnostic accuracy of FEES and VFSS in evaluating swallowing in adults with dysphagia.
METHODS
A search for articles published between January 1991 and March 2020 was carried out in the MEDLINE EMBASE, COCHRANE, SciELO, and LILACS electronic databases. Based on the eligibility criteria, six articles were included.
RESULTS
FEES demonstrated a higher ability to diagnose pharyngeal residue, penetration, and aspiration compared with VFSS, and slightly better performance in detecting premature spillage.
CONCLUSION
There were no significant differences on the diagnostic performance of both tests. The choice of test should depend on availability, team experience, and patient's preference.
LEVEL OF EVIDENCE
Level III.
目的
进行这项系统评价以比较纤维内镜吞咽功能检查（FEES）和视频荧光吞咽造影检查（VFSS）在评估成人吞咽困难患者吞咽功能时的诊断准确性。
方法
在MEDLINE、EMBASE、COCHRANE、SciELO和LILACS电子数据库中检索1991年1月至2020年3月发表的文章。根据纳入标准，纳入了6篇文章。
结果
与VFSS相比，FEES在诊断咽部残留、渗透和误吸方面表现出更高的能力，在检测过早溢出方面表现略好。
结论
两种检查的诊断性能无显著差异。检查方法的选择应取决于可用性、团队经验和患者偏好。
证据级别
三级。
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