论文部分内容阅读
目的探讨在吞咽障碍患者中咽和食管动态造影（ＰＥＤＩ）的方法和价值．方法对吞咽障碍患者共进行ＰＥＤＩ８５１例次．ＰＥＤＩ程序：直立咽部侧、斜、正位吞钡Ｘ线录像和食管仰卧吞钡右前斜位Ｘ线录像或点片．结果发现功能或动力性疾病６０４例（７１％），发生于咽、食管及咽连同食管３者的频率分别为１６２例（１９％），２４７例（２９％）和２７２例（３２％）．结构性病变６８例（８％），发生于咽和食管者分别为１１例（１３％）和５７例（６７％），结构性病变中功能异常者６６例（７８％），占６８例中的９８％．无异常发现者１２２例（１４３％）．结论ＰＥＤＩ是诊断吞障的方便、准确的检查方法，与测压结果的符合率可达９８％．
Objective To explore the method and value of pharyngeal and esophageal dynamic contrast imaging (PEDI) in patients with swallowing disorders. Methods Patients with dysphagia were treated with PEDI851. PEDI Procedures: Erect pharyngeal side, oblique, anteroposterior barium X-ray video and esophageal supine barium right anterior oblique X-ray video or spot. RESULTS: A total of 604 patients (71%) had functional or dynamic disease, 162 (19%), 247 (29%) and 272 (32%) patients, respectively, in the pharynx, esophagus, and pharynx. Sixty-eight structural lesions (8%) occurred in 11 (1.3%) and 57 (6.7%) patients in the pharynx and esophagus, respectively, and 66 (71.8% ), Accounting for 98% of 68 cases. There were 122 cases without abnormal findings (143%). Conclusion PEDI is a convenient and accurate method for the diagnosis of dysphagia. The coincidence rate with piezometric results can reach 98%.