Therapeutic effect of balloon catheter dilatation with ice water on cricopharyngeal achalasia
10.3760/cma.j.issn.0254-1424.2014.05.012
- VernacularTitle:冰水球囊扩张治疗环咽肌失弛缓症的疗效观察
- Author:
Juan YANG
;
Yinjin SHAO
;
Zhixiong XU
;
Zhihong LIU
;
Ping ZHONG
- Publication Type:Journal Article
- Keywords:
Balloon dilatation;
Cricopharyngeal achalasia;
Dysphagia;
Brainstem stroke
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2014;36(5):363-366
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic effects of balloon dilatation with ice water and room temperature water on cricopharyngeal achalasia after brainstem stroke.Methods Forty dysphagic patients with cricopharyngeal achalasia after brainstem stroke were recruited.Twenty patients assigned to experimental group were treated by balloon dilatation with ice water and low frequency elecrtrical stimulation.Twenty patients assigned to control group were treated by balloon dilatation with room temperature water and low frequency electrical stimulation.Results After treatment,36 out of the 40 patients of the two groups could eat pasty food independently without choking.Videofluoroscopic swallowing study (VFSS) showed that the cricopharyngeal sphincter relaxed and the foods passed successfully when swallowing bolus,and no aspiration happened.In comparison,the level of cricopharyngeal opening,the number of patients with nasogastric tube remained and eating normally,and the scores of functional oral intake scale (FOIS) between the two groups showed no significant difference (P ＞ 0.05).The average treatment sessions,average hospitalization days and average treatment cost in treatment group were significantly less than those in the control group(P ＜0.05).Conclusion Cricopharyngeal achalasia can be treated effectively by balloon dilatation with ice water or with room temperature water combined with low frequency electrical stimulation,but treatment course of balloon dilatation with ice water were significantly shorter than that of balloon dilatation with room temperature water.
