摘要
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 causes of refractory pharyngeal paraesthesia. Method： Besides routine examination of otolaryngology, 600 patients were tested by fiberoptic laryngoscopy, fiberoptic gastroesophagoscope, nasal sinuses CT, styloid prosess X-ray as well as neck and thyroid gland B ultrasonography. Then, they were treated according to respective causes. Result： Among 600 cases of refractory pharyngeal paraesthesia, 229 （38.20/60） cases were diagnosed as gastroesophagitis, 113 （18. 80/60）nasal sinusitis, 57 （9. 5%） climacteric syndromes, 40（6.7%） chronic tonsillitis, 22（3.7%） carcinophobia, 13（2.20/60） subacute thyroiditis or thyrophymas, 9 （1.5 % ） elongation of styloid process and 117 （19.5% ） other causes. All patients were treated according to respective causes and total cure rate was 84.2% after 6 months. Conclusion： There are many causes of pharyngeal paraesthesia. We should pay attention to its relatlonship with gastroesphagitis and nasal sinusitis etc, especially, gastroesophageal reflux disease.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2006年第3期129-131,共3页
Journal of Clinical Otorhinolaryngology
关键词
咽异感症
病因学
胃食管返流
Pharyngeal paraesthesia
Etiology
Gastroesophageal reflux
