摘要
目的探讨声门上型喉癌和下咽癌对吞咽功能的影响。方法对2015年12月至2017年2月住院治疗的32例声门上型喉癌患者(喉癌组)、20例下咽癌患者(下咽癌组)及81例同龄段的正常人(对照组)进行反复唾液吞咽试验、洼田饮水试验、电子鼻咽喉镜吞咽功能检查,评估并比较各组的吞咽功能。结果喉癌组吞咽功能异常17例(53.13%,17/32),下咽癌组吞咽功能异常15例(75.00%,15/20),对照组吞咽功能异常11例(13.58%,11/81),喉癌组和下咽癌组吞咽功能异常的发生率明显高于对照组(P<0.001)。喉癌组中肿瘤位于会厌及边缘区的21例中,吞咽功能异常14例(66.67%,14/21),肿瘤位于室带及喉室的11例中,吞咽功能异常3例(27.27%,3/11),前者发生率高于后者,差异有统计学意义(P<0.05)。下咽癌组中,14例梨状窝型患者吞咽功能异常10例(71.43%,10/14);6例咽后壁型患者吞咽功能异常5例(83.33%,5/6),两组间差异无统计学意义(P>0.05)。结论声门上型喉癌和下咽癌患者吞咽功能异常的发生率明显增高;在声门上型喉癌中,肿瘤主体部位对吞咽功能有一定的影响。
Objective To explore the effects of supraglottic laryngeal carcinoma and hypopharyngeal carcinoma on swallowing functions.Methods The data of32patients with supraglottic laryngeal carcinoma(laryngeal carcinoma group),20patients with hypopharyngeal carcinoma(hypopharyngeal carcinoma group)and81cases of normal persons of the same age(50~79)as a control(normal control group)who were diagnosed and treated in our department from2015December to2017February were evaluated by repeated saliva swallowing test,watian drinking water test,and endoscopic examination of swallowing.Results In the laryngeal carcinoma group,we found swallowing dysfunctions in17cases(53.13%,17/32).In the hypopharyngeal carcinoma group,we found swallowing dysfunctions in15cases(75.00%,15/20).For81cases of normal persons(normal control group),there were swallowing dysfunctions in11cases(13.58%,11/81).The statistical analysis of the laryngeal carcinoma and hypopharyngeal carcinoma groups with abnormal swallowing functions were significantly higher than the normal control group(P<0.001).In the laryngeal carcinoma group,according to the anatomic site,the tumors were divided into two groups:from21cases of epiglottis and fringe group,we found swallowing dysfunctions in14cases(66.67%,14/21);out of11cases of ventricular bands+laryngeal ventricle group,swallowing dysfunctions in3cases(27.27%,3/11).The differences between the two groups were significant(P<0.05).In the hypopharyngeal carcinoma group,out of14cases of pyriform sinus,swallowing dysfunctions were in10cases(71.43%,10/14);out of6cases of posterior hypopharyngeal wall carcinoma,swallowing dysfunctions in5cases(83.33%,5/6).The differences between the two groups were insignificant(P>0.05).Conclusion Supraglottic laryngeal carcinoma and hypopharyngeal carcinoma all have effects on swallowing functions and increase the incidence of dysphagia.In the supraglottic laryngeal carcinoma,the primary tumor location has influence on the swallowing functions.
作者
姜晖
王丽萍
吉鹏
李青莲
吴妍
Jiang Hui;Wang Liping;Ji Peng;Li Qinglian;Wu Yan(Department of Otorhinolaryngology, Shengjing Hospital affiliated to China Medical University,Shenyang,110000,China)
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2018年第1期29-33,共5页
Journal of Audiology and Speech Pathology
基金
辽宁省科学技术项目(201602860)资助
关键词
声门上型喉癌
下咽癌
吞咽功能
Supraglottic carcinoma
Hypopharyngeal carcinoma
Swallowing
作者简介
姜晖,男,山东人,硕士研究生,主要研究方向为咽喉科学。;通讯作者:王丽萍(Email: wanglp@sj-hospital.org)
