中华放射肿瘤学杂志
中華放射腫瘤學雜誌
중화방사종류학잡지
Chinese Journal of Radiation Oncology
2015年
6期
668-670
,共3页
邓翀%林勤%吴琼%周雨霏%饶明月%王丽琛%田野
鄧翀%林勤%吳瓊%週雨霏%饒明月%王麗琛%田野
산충%림근%오경%주우비%요명월%왕려침%전야
舌骨%喉室%活动度%测量%正常吞咽
舌骨%喉室%活動度%測量%正常吞嚥
설골%후실%활동도%측량%정상탄인
Hyoid Bone%laryngeal%displacement%Measurement%Normal Swallowing
目的:测量自然吞咽过程中舌骨及喉室的最大移动度。方法选取40例志愿者为研究对象,使用普通X线模拟机采集自然吞咽视频,通过视频分析软件对吞咽视频进行连续快速截图,测量自然吞咽过程中舌骨及喉的最大移动度。采用单因素方差分析差异。结果40例志愿者平均吞咽时间为(1.13±0.28) s。吞咽过程中舌骨及喉室的移动是先向上,然后向外最后回到静息位置。舌骨前后方向最大移动度为(0.90±0.30) cm,垂直方向最大移动度(0.93±0.36) cm;喉室前后方向最大移动度为(0.69±0.25) cm,垂直方向最大移动度(1.04±0.45) cm。进一步研究发现年龄因素对吞咽时间有影响( P=0.03),男女之间相近( P=0.13)。性别、年龄因素对舌骨和喉室移动度无影响( P=0.28~0.81、0.20~0.88)。结论自然吞咽会引起舌骨及喉室向前上方移动,这种移动在头颈部放疗计划制定过程中值得考虑。
目的:測量自然吞嚥過程中舌骨及喉室的最大移動度。方法選取40例誌願者為研究對象,使用普通X線模擬機採集自然吞嚥視頻,通過視頻分析軟件對吞嚥視頻進行連續快速截圖,測量自然吞嚥過程中舌骨及喉的最大移動度。採用單因素方差分析差異。結果40例誌願者平均吞嚥時間為(1.13±0.28) s。吞嚥過程中舌骨及喉室的移動是先嚮上,然後嚮外最後迴到靜息位置。舌骨前後方嚮最大移動度為(0.90±0.30) cm,垂直方嚮最大移動度(0.93±0.36) cm;喉室前後方嚮最大移動度為(0.69±0.25) cm,垂直方嚮最大移動度(1.04±0.45) cm。進一步研究髮現年齡因素對吞嚥時間有影響( P=0.03),男女之間相近( P=0.13)。性彆、年齡因素對舌骨和喉室移動度無影響( P=0.28~0.81、0.20~0.88)。結論自然吞嚥會引起舌骨及喉室嚮前上方移動,這種移動在頭頸部放療計劃製定過程中值得攷慮。
목적:측량자연탄인과정중설골급후실적최대이동도。방법선취40례지원자위연구대상,사용보통X선모의궤채집자연탄인시빈,통과시빈분석연건대탄인시빈진행련속쾌속절도,측량자연탄인과정중설골급후적최대이동도。채용단인소방차분석차이。결과40례지원자평균탄인시간위(1.13±0.28) s。탄인과정중설골급후실적이동시선향상,연후향외최후회도정식위치。설골전후방향최대이동도위(0.90±0.30) cm,수직방향최대이동도(0.93±0.36) cm;후실전후방향최대이동도위(0.69±0.25) cm,수직방향최대이동도(1.04±0.45) cm。진일보연구발현년령인소대탄인시간유영향( P=0.03),남녀지간상근( P=0.13)。성별、년령인소대설골화후실이동도무영향( P=0.28~0.81、0.20~0.88)。결론자연탄인회인기설골급후실향전상방이동,저충이동재두경부방료계화제정과정중치득고필。
Objective To measure the maximum movement of the hyoid bone and ventriculus laryngis during normal swallowing. Methods Forty volunteers were selected as subjects, and an X?ray simulator was used to collect the videos of normal swallowing. Video analysis software was used to capture continuous and quick screenshots of these videos, and the maximum movement of the hyoid bone and ventriculus laryngis was measured. The difference in movement was analyzed by one?way analysis of variance. Results The mean time for swallowing in 40 volunteers was 1.13±0.28 s. During the process of swallowing, the hyoid bone and ventriculus laryngis moved upward first, then outward, and finally returned to the resting position. The maximum movement of the hyoid bone forward and backward was 0.90±0.30 cm;the maximum vertical movement of the hyoid bone was 0.93±0.36 cm. The maximum movement of the ventriculus laryngis forward and backward was 0.69± 0. 25 cm;the maximum vertical movement of the ventriculus laryngis was 1.04±0.45 cm. Further studies showed the effect of age on the time for swallowing (P=0.03), with similar results for the male and female ( P=0.13) . Sex and age had no effects on movement of the hyoid bone and ventriculus laryngis (P=0.28?0.81 and 0.20?0.88). Conclusions During normal swallowing, the hyoid bone and the ventriculus laryngis move first upward and then forward. These movements should be considered during the development of radiotherapy plan for head and neck cancer.