Objective To investigate the value of using video fluoroscopic swallowing study（ VFSS） and fiberoptic endoscopic evaluation of swallowing（ FEES） in the assessment of swallowing function in patients with stroke. Methods From June 2014 to October 2016， a total of 108 stroke patients were randomly divided into experimental group and control group with 54 cases in each. The control group was evaluated with VFSS. The experimental group was evaluated on the basis of the control group with VFSS and FEES. According to the assessment results， all patients received targeted treatment and rehabilitation training. The detection rate of aspiration， the swallowing function before and after treatment and the difference of curative effect of the two groups were compared. Results Compared with the control group（ 22.22%）， the detection rate of aspiration in experimental group（ 50.00%） was significantly higher， and the difference was statistically significant （χ2=15.62， P ＜ 0.01）. After treatment， the VFSS scores in both groups were significantly higher than those before treatment（ P＜0.05）. The VFSS scores of the experimental group were significantly higher than those of the control group（ P＜0.01）. The total effective rate of the experimental group（ 87.03%） was significantly higher than that of the control group（ 70.37%）， and the difference was statistically significant（ χ2=3.31， P=0.042）. Conclusions VFSS combined with FEES has an extremely important value in the evaluation of swallowing function after stroke， and it is worth to be popularized clinically.