山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (6): 56-59.doi: 10.6040/j.issn.1673-3770.0.2019.316
• • 上一篇
张剑利,陈伟雄,陈瑞开,邝德斌,庞艺施
ZHANG Jianli, CHEN Weixiong, CHEN Ruikai, KUANG Debing, PANG Yishi
摘要: 目的 探讨纤维喉镜吞咽检查在鼻咽癌放疗后长期存活患者吞咽功能评估的应用价值。 方法 通过对107例鼻咽癌放疗后长期存活的患者进行纤维喉镜检查,应用咽期残留量表及食物渗透及误吸量表评估咽期残留、渗透及误吸情况。 结果 107例患者均完成纤维喉镜吞咽评估,鼻咽癌放疗后随诊时间为5~14年,平均(8.78±2.91)年,声门内收反射减弱或消失22例(20.56%),鼻咽反流及关闭不全23例(21.49%),声带活动减弱或声带麻痹50例(46.72%)。53.06%患者存在对于粥样食物严重梨状窝残留,而45.79%患者对水以及29.90%患者对粥样食物存在误吸。 结论 通过对鼻咽癌放疗后长期存活患者进行纤维喉镜吞咽评估,较多患者存在严重吞咽障碍,其中粥样食物残留及水样食物误吸较常见。
中图分类号:
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