Analysis of effect of different balloon catheter dilation techniques in treatment of cricopharyngeal achalasia
10.3760/cma.j.issn.0254-1424.2011.012.008
- VernacularTitle:不同方式球囊扩张治疗环咽肌失弛缓症的疗效分析
- Author:
Ganghua GUO
;
Zhe LI
;
Chenxia GUAN
;
Lin YUE
- Publication Type:Journal Article
- Keywords:
Balloon catheter dilation technique;
Cricopharyngeal achalasia;
Deglutition disorders
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2011;33(12):909-912
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of different ways of balloon catheter dilation techniques on cricopharyngeal achalasia and its mechanisms.Methods Thirty patients with deglutition disorder after brain stem infarction,whose cricopharyngeal achalasias were proven by videofluoroscopic swallowing study(VFSS),were randomly divided into three groups: No.14 conventional catheter group A,No.14 modified bicavitary silica-gel catheter group B and No.22 conventional catheter group C with 10 cases in each group,respectively.All the patients of 3 groups received multiple times corresponding balloon catheter dilatation per nasal or per os(No.22 conventional catheter group C only per os).Results After an average of 30 d of balloon catheter dilatation,the level of dysphagia and VFSS evaluation of all patients improved significantly(P ＜ 0.05).However,the No.14 conventional catheter group A and No.22 conventional catheter group C improved to a greater extent than No.14 modified bicavitary silica-gel catheter group B(P ＜ 0.05).The saccule perimeter,saccule diameter and saccule intracapsular pressure of No.14 conventional catheter group A and No.22 conventional catheter group C increased significantly(P ＜ 0.05)when compared to those of No.14 modified bicavitary silica-gel catheter group B,but there was no significant diffference beween No.14 conventional catheter group A and No.22 conventional catheter group C(P ＞ 0.05).Conclusions The balloon catheter dilation technique can significantly improve swallowing function of deglutition disorders patients with cricopharyngeal achalasia after brain stem infarction,which is related positively to saccule diameter and saccule intracapsular pressure.
