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吞咽困难是老年人常见的症状,常因此作口咽部吞钡检查。为了研究咽部功能性异常与病人年龄和症状的关系,作者对此作一前瞻性研究。选择110例(女60例,男50例)无咽喉部手术史的门诊病人,按年龄分成3组:<40岁(31例),40～60岁(42例),>60岁(37例)。检查前由病人填写症状登记表,放射科医师根据病史决定X线检查指征,记录有无糖尿病和可以引起咽喉部功能异常的关节炎和神经系统疾病。登记的症状包括与吞咽有关的咳嗽、音哑、咽喉部异物感、吞咽时颈部疼痛、吞咽后颈部食物滞留感、烧心、吞咽困难、与吞咽有关或无关的胸部疼痛、胃脘疼。病人一次口服20ml钡剂,正侧位高分辨率录像并摄片。X线检查所见包括:环咽部压
Dysphagia is a common symptom of the elderly, often swallow barium for oropharyngeal examination. In order to study the functional relationship between pharyngeal dysfunction and patient age and symptoms, the authors make a prospective study. A total of 110 outpatients (60 males and 50 males) with no history of throat surgery were enrolled and divided into three groups according to age: <40 years old (31 cases), 40-60 years old (42 cases) and> 60 years old (37 cases ). Before the examination, the patient should fill in the symptom registration form. The radiologist determined the X-ray examination indications according to the medical history, and recorded the presence of diabetes and arthritis and nervous system diseases that could cause dysfunction of the throat. Symptoms registered include swallowing-related cough, dumbness, foreign body sensation in the throat, neck pain on swallowing, food retention on neck after swallowing, heartburn, difficulty swallowing, chest pain associated with or unrelated to swallowing, stomach pain. Patients once oral administration of 20ml barium, is high-resolution video and lateral photography. X-ray findings include: Central pharyngeal pressure