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目的:探讨长期误诊为反流性咽喉炎的胃食管反流病诊治方法。方法:采用喉镜、胃镜和24 h食管pH监测明确诊断,用抑酸药和胃肠动力药治疗并观察前后的症状。结果:53例患者治疗后有效率为90.57%。其中对糜烂性食管炎有效率为97.14%,非糜烂性反流性咽喉炎有效率为77.78%。结论:喉镜、胃镜和24 h食管pH监测可协同诊断被误诊为反流性咽喉炎的胃食管反流病,采用抑酸药和胃肠动力药治疗能凑效。
Objective: To investigate the diagnosis and treatment of gastroesophageal reflux disease misdiagnosed as reflux pharyngitis. Methods: The laryngoscope, endoscopy and 24 h esophageal pH monitoring were used to confirm the diagnosis. The patients were treated with antacids and gastrointestinal motility drugs and the symptoms before and after treatment were observed. Results: The effective rate of 53 patients after treatment was 90.57%. Among them, the effective rate of erosive esophagitis was 97.14% and the rate of non-erosive reflux laryngitis was 77.78%. Conclusion: Laryngoscopy, gastroscopy and 24 h esophageal pH monitoring can be used to diagnose gastroesophageal reflux disease, which is misdiagnosed as reflux throat. Treatment with antacids and gastrointestinal motility drugs can be effective.