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目的:探讨难治性咽异感症的病因。方法:除耳鼻咽喉常规检查外,行鼻咽纤维喉镜、纤维食管胃镜、鼻窦CT、茎突X线摄片、颈部和甲状腺B超等检查以及相关治疗。结果:600例咽异感症患者中,患胃食管炎229例(38.2%),鼻窦炎113例(18.8%),更年期综合征57例(9.5%),慢性扁桃体炎40例(6.7%),疑癌症22例(3.7%),亚急性甲状腺炎和甲状腺肿瘤13例(2.2%),茎突过长综合征9例(1.5%),其他117例(19.5%)。所有患者根据检查的相关病因治疗,随访6个月,有效率达84.2%。结论:咽异感症的病因较多,要重视胃食管炎、鼻窦炎等,特别是返流性胃食管病与咽异感症的关系。
Objective: To investigate the etiology of refractory pharyngeal dysarthria. Methods: In addition to routine examination of otolaryngology, nasopharyngeal fiber laryngoscope, fiber esophagoscopy, sinus CT, styloid X - ray, neck and thyroid B ultrasonic examination and related treatment. Results: Of the 600 cases of pharyngeal dysarthria, 229 (38.2%) had gastroesophageal reflux disease, 113 (18.8%) had sinusitis, 57 (9.5%) had climacteric syndrome and 40 (6.7%) had chronic tonsillitis Twenty-two patients (3.7%) had subacute thyroiditis and thyroid tumors in 13 patients (2.2%), 9 patients (1.5%) with syndrome of styloid process and 117 others (19.5%) in other patients. All patients according to the examination of the etiology of treatment, follow-up 6 months, the effective rate of 84.2%. Conclusion: There are many causes of pharyngeal abnormalities, so gastroenteritis and sinusitis should be emphasized, especially the relationship between reflux gastroesophageal disease and pharyngeal sensation.