Effect of balloon dilatation therapy and Mendelsohn method on dysphagia caused by cricopharyngeal achalasia |
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DOI: |
EN KeyWords: balloon dilatation therapy Mendelsohn method Shaker method cricopharyngeal achalasia dysphagia |
Fund Project:广东省卫生厅科研项目(A2012547) |
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EN Abstract: |
Objective:To investigate the effects of catheter balloon dilatation therapy for dysphagia caused by cricopharyngeal achalasia.Methods:On the first stage,50 patients were treated with routine dysphagia rehabilitation training and balloon dilatation therapy.The treatment end point was either oral diet or after 4-week treatment.On the second stage,the patients whose therapeutic effect was not improved were divided into two groups.The control group was given the treatment on the stage 1 and the observation group was given Mendelsohn method and Shaker method.The treatment end point was either oral diet or after 2-week treatment.Results:After treatment of the first stage,19 of the 50 patients had no significant effectiveness,and divided into the observation group (n=10) and the control group (n=9).After treatment, the dysphagia functional score of the observation group was significantly higher than before the treatment and that of the control group (P<0.05).The score of Water swallow tests was lower significantly in the observation group than before the treatment and that in the control group (P<0.05).Conclusion:Catheter balloon dilatation therapy is effective for dysphagia caused by cricopharyngeal achalasia,but it can't reach to get instant results if upward and forward movements of the larynx were insufficient.It must be combined with the corresponding means to achieve the purpose of healing. |
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