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目的探讨咽异感症的病因和治疗。方法除耳鼻咽喉常规检查及鼻咽纤维喉镜检查外,根据病人具体情况分别行X线食管钡餐、纤维食管胃镜、鼻窦CT、颈椎X线、甲状腺B超等检查以及相关治疗。结果720例咽异感症患者中,患慢性咽喉炎330例(45.8%),胃食管返流病146例(20.3%),鼻窦炎64例(8.9%),更年期综合征59例(8.2%),疑癌症26例(3.6%),甲状腺炎和甲状腺肿瘤18例(2.5%),颈椎病16例(2.2%),茎突过长症10例(1.4%),其他51例(7.1%)。所有患者均根据病因进行相应治疗。随访3个月以上,有效率达82.5%。结论咽异感症的病因较多,最常见于慢性咽喉炎,其次是胃食管返流病,鼻窦炎等,只有查清病因并针对病因治疗,才能取得满意疗效。
Objective To investigate the etiology and treatment of pharyngeal symptoms. Methods In addition to routine examination of otolaryngology and nasopharyngeal fiber laryngoscopy, X-ray esophageal barium meal, fiber esophagoscopy, sinus CT, cervical X-ray and thyroid B ultrasound examination and related treatment were performed according to the patient’s specific conditions. Results Of 720 patients with pharyngeal pharynx, 330 (45.8%) had chronic pharyngitis, 146 (20.3%) had gastroesophageal reflux disease, 64 (8.9%) had sinusitis, and 59 (8.2%) had climacteric syndrome 26 (3.6%) were cancers, 18 (2.5%) had thyroiditis and thyroid tumors, 16 (2.2%) had cervical spondylosis, 10 (1.4%) had leptosclerosis and 51 (7.1%) had other tumors. All patients were treated accordingly. Follow-up more than 3 months, the effective rate of 82.5%. Conclusions There are many causes of pharyngeal sensation, the most common are chronic pharyngitis, followed by gastroesophageal reflux disease, sinusitis, etc. Only by finding the cause and treating the cause, can we achieve satisfactory results.