CAJ | 학술논문

目的评价纤维鼻咽喉镜吞咽功能检查(fiberoptic endoscopic examination of swallowing,FEES)对于脑卒中后吞咽障碍的诊断价值.方法对22例急性脑梗死患者进行吞钡电视透视(videofluoroseopy,VF)检查和FEES.以VF检查为金标准,计算FEES对于急性脑卒中患者误吸、渗漏、穿透和潴留诊断的灵敏度、特异度、阳性预测值和阴性预测值.结果 FEES对于穿透诊断的灵敏度为83.3%,特异度为90.0%;对误吸诊断的灵敏度、特异度均为90.9%;对潴留诊断的灵敏度为100%,特异度为77.8%;对渗漏诊断的灵敏度为73.3%,特异度为71.4%.结论 FEES对于急性脑卒中患者穿透、误吸和潴留诊断的可靠性较好,是评估脑卒中后吞咽障碍的有力工具.
목적 평개섬유비인후경탄인공능검사(fiberoptic endoscopic examination of swallowing,FEES)대우뇌졸중후탄인장애적진단개치.방법 대22례급성뇌경사환자진행탄패전시투시(videofluoroseopy,VF)검사화FEES.이VF검사위금표준,계산FEES대우급성뇌졸중환자오흡、삼루、천투화저류진단적령민도、특이도、양성예측치화음성예측치.결과 FEES대우천투진단적령민도위83.3%,특이도위90.0%;대오흡진단적령민도、특이도균위90.9%;대저류진단적령민도위100%,특이도위77.8%;대삼루진단적령민도위73.3%,특이도위71.4%.결론 FEES대우급성뇌졸중환자천투、오흡화저류진단적가고성교호,시평고뇌졸중후탄인장애적유력공구.
Objective To evaluate the diagnostic value of fibemptic endoscopic examination of swallowing (FEES) in dysphagia after stroke. Methods Twenty-two patients with acute ischemic stroke were given both FEES and videofluoroseopy(VF). The FEES was then measured against the videofluoroscopy study for sensitivity, specificity, positive predictive value and negative predictive value for determining aspiration, spillage, penetration and residue. Results Sensitivity for penetration, aspiration, residue and spillage were 83.3%, 90. 9%, 100% and 73.3%, respectively. Specificity for these 4 parameters were 90. 0%, 90. 9%, 77. 8% and 71.4%, respectively. Conclusions FEES may detect penetration, aspiration and residue reliably in acute stroke patients. FEES is a valid and valuable tool for evaluating dysphagia after stroke.