鼻咽癌放疗后吞咽障碍1例

1病例报告患者,女,70岁。1998年11月在第二军医大学附属长海医院诊断为鼻咽癌。1999年3月在华东医院接受放疗1个月余。之后由于咽干、味觉减退、舌苔发黑,于2000年开始口服中药(3年),舌苔转红。2005年2月出现吞药梗阻症状,且咳嗽、痰多,检查气管及食管未见异常,开始能吃一点软

A case of swallowing disorder following radiotherapy on nasopharynx cancer

To explore how to assess objectively the effect of swallowing treatment by a case study of one female patient with nasopharynx cancer after radiotherapy; the swallowing treatment include: dilatation of cricopharyngeal muscle (total 44 times), larynx raising method, tongue base exercises and acupuncture [main aperture:Jin-jin, Yuye(EX-HN12), Lianquan(CV23), Fengchi(GB20), Yamen(GV15), Baihui(GV20)], mainly using the videofluoroscopy to testify curative effect; the results demonstrated the duration of swallowing thick barium (270% w/v) including oral transit time plus pharyngeal transit time shortened 14.3%, distance of larynx raising increased 36.7%, oral and pharyngeal residue reduced 10% compared with that before theatment, all these data totally explained the swallowing function improved a little, but not significantly. The research testify the measuring parameter with videofluoroscopy can be used to assess the swallowing function and curative effect objectively.