50-脑卒中后环咽肌失弛缓吞咽障碍患者的治疗分析（Analysis of the treatment of dysphagia due to achalasia of the 50- stroke）.docVIP

50-脑卒中后环咽肌失弛缓吞咽障碍患者的治疗分析（Analysis of the treatment of dysphagia due to achalasia of the 50- stroke） After stroke cricopharyngeal muscle loss treatment in patients with dysphagia of achalasia Guangdong Province Traditional Chinese Medical Hospital Yang Haifang Wang Susu Chen Hongxia [Abstract] Objective To explore the methods of treatment of post-stroke ring cricopharyngeal achalasia and the necessity, objective evaluation of its therapeutic effect. Methods brainstem infarction with pharyngeal dysphagia patients in 2 cases, by swallowing X-ray fluoroscopy, suspected cricopharyngeal achalasia. 1 cases treated with neuromuscular electrical stimulation therapy, and 2 cases in the basis of neuromuscular electrical stimulation combined with balloon dilatation. Results after treatment, 2 patients could eat independent paste food, no cough. According to angiography by swallowing food, pharyngeal muscle and normal open. Conclusion balloon dilatation due to stroke cricopharyngeal achalasia is not necessary. Through the throat muscles motor nerve function, promote cricopharyngeal opening. [Key words] cricopharyngeal achalasia lost dysphagia X-ray fluoroscopy balloon dilatation of neuromuscular electrical stimulation Cricopharyngeal achalasia of cricopharyngeal muscle is a common disease. Cricopharyngeal relaxation causes muscle cannot be completely unknown, may cause brain damage (including trauma, hypoxia), brain stem stroke, head and neck malignant tumors, secondary to radiation and surgical scar formation after intubation, etc.. Cricopharyngeal muscle dysfunction caused by cervical dysphagia is after swallowing cricopharyngeal muscle relaxation or not in a coordinated manner in order to relax its pathological characteristics, sometimes solid food rather than liquid food easy to swallow. Most symptoms of sudden onset, intermittent or repeated, many patients progress soon after swallowing the pharynx not to pass down the food, also can not only swallow food retention, or to n