作者：艾海波1 ，姜恩黎 1 ，靳棋卒 1 ，赵虹 1 ，虞记华 2 ，熊林波 3 ，杨琪 1 ，巩文艳 1 ，张洪 1

单位：

1.621000 四川省绵阳市第三人民医院 四川省精神卫生中心2.646000 四川省泸州市，西南医科大学附属第一医院3.621000 四川省绵阳市中心医院

Units：

1.The Third Hospital of Mianyang/Sichuan Mental Health Center，Mianyang 621000，China2.The First Affiliated Hospital of Southwest Medical University，Luzhou 646000，China3.Mianyang Central Hospital，Mianyang 621000，China

关键词：

吞咽障碍；咽肌；环咽肌失弛缓；球囊扩张；吞咽 X 线造影检查；导尿管；儿童

Keywords：

Deglutition disorders；Pharyngeal muscles；Cricopharyngeal achalasia；Balloon dilatation；VFSS；Catheter；Child

CLC：

DOI：

10.12114/j.issn.1008-5971.2021.00.003

Funds：

摘要：

环咽肌失弛缓症（CPA）指主要因吞咽时环咽肌不能松弛而使食团滞留在咽部，进而引发误吸、反流和窒息，常继发于脑卒中、脑创伤等。本文报道了 1 例 5 岁小脑病变切除术后患儿经电视荧光吞咽造影检查（VFSS）诊断为 CPA，在口腔感觉运动训练、吞咽肌群电刺激治疗等基础治疗的同时予以 18 次导尿管球囊扩张术治疗，患儿最终拔出胃管，经口进食，无呛咳，以期为临床治疗儿童 CPA 提供参考。

Abstract：

Cyclopharyngeal ataxia （CPA） refers to the inability to relax the cricopharyngeal muscles during swallowing，which causes the food boluses to stay in the pharynx，and then causes aspiration，reflux and asphyxia，often secondary to stroke or trauma.In this case report，we present the case of a 5-year old child who was referred to our clinic for CAP by video fluoroscopic swallowing study（VFSS），with a history of cerebellar lesion resection.18 times of balloon catheter dilatation were performed accompanied by basic treatment，such as oral sensorimotor training and electrical stimulation of swallowing muscles.Finally，subjective complaints of chocking disappeared and return to normal diet.We conclude that balloon dilation therapy is a complementary method for CPA.

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