CAJ | 학술논문

【目的】评估鼻咽癌放疗后的吞咽状况。【方法】对106例鼻咽癌患者在治疗前和治疗后1年内定期评估患者吞咽情况，评估方法包括患者自觉的吞咽困难评分（patient-reported dysphagia ，PRD），观察者评定的评分（observer-reported dysphagia ，ORD）以及客观检查---电视透视（videofluoroscopy ，VF）检查评分。根据放疗结束后3个月到放疗结束后12个月记录到的最大的O RD评分把病人分为A、B、C、D、E五个组，对各组PRD得分以及V F得分进行对比分析。【结果】A组的吞咽困难程度除PRD评分总体困扰维度外明显低于其他各组，其他四组间的吞咽困难程度差异无显著性。PRD评分吞咽困难阳性率高于ORD评分以及VF评分阳性率。【结论】吞咽困难作为一个主观症状，尤其是轻度的吞咽困难，可能被临床医师所低估。鼻咽癌放疗结束后的吞咽困难可能成为耳鼻咽喉-头颈外科医师面临的重要任务之一。
【목적】평고비인암방료후적탄인상황。【방법】대106례비인암환자재치료전화치료후1년내정기평고환자탄인정황，평고방법포괄환자자각적탄인곤난평분（patient-reported dysphagia ，PRD），관찰자평정적평분（observer-reported dysphagia ，ORD）이급객관검사---전시투시（videofluoroscopy ，VF）검사평분。근거방료결속후3개월도방료결속후12개월기록도적최대적O RD평분파병인분위A、B、C、D、E오개조，대각조PRD득분이급V F득분진행대비분석。【결과】A조적탄인곤난정도제PRD평분총체곤우유도외명현저우기타각조，기타사조간적탄인곤난정도차이무현저성。PRD평분탄인곤난양성솔고우ORD평분이급VF평분양성솔。【결론】탄인곤난작위일개주관증상，우기시경도적탄인곤난，가능피림상의사소저고。비인암방료결속후적탄인곤난가능성위이비인후-두경외과의사면림적중요임무지일。
Objective To evaluate the swallowing status of nasopharyngeal cancer after radiotherapy .[Methods]The swallowing status of 106 patients with nasopharyngeal cancer 1 year before and after treatment was evaluated regularly .The evaluation methods included patient-reported dysphagia(PRD) ,observer-repor-ted dysphagia(ORD) and objective examination videofluoroscopy (VF) score .According to maximal ORD scores from 3 months to 12 months after radiotherapy ,all patients were divided into 5 groups .PRD and VF scores were compared among 5 groups .[Results] PRD scores except overall curse dimension of dysphagia de-grees in group 1 were obviously lower than those in other groups ,but there was no significant difference in dysphagia degree among group 2 ,3 ,4 and 5 .The positive rate of dysphagia according to PRD score was high-er than the positive rate of dysphagia according to ORD and VF scores .[Conclusion]Dysphagia as a objective symptom ,especially mild dysphagia may be underestimated by clinicians .Dysphagia of nasopharyngeal cancer after radiotherapy is likely to become one of the important tasks for our otolaryngology-head-neck surgeons .