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目的观察食管微量射频治疗胃食管反流病(gastroesophageal reflux disease,GERD)伴随咽喉部症状的疗效。方法选择2006年4月～2007年7月于我中心就诊的行射频治疗的GERD 370例。治疗前后对咽喉部症状进行统计分析。结果 370例GRED中有199例(53.8%)伴有咽喉部症状,包括咽喉部异物感、咽喉部发痒、咽喉部发紧、声音嘶哑,咽痛、清嗓及其他症状。治疗后除其他症状外,不同咽部症状评分均低于治疗前,差异均有统计学意义(P<0.01)。134例(67.3%)治疗有效,不同咽喉部症状显效率33.3%～49.4%,缓解率13.0%～18.5%,无效率33.1%～52.2%。结论 GERD可以引起咽喉部症状,食管微量射频治疗疗效确切。
Objective To observe the efficacy of esophageal micro-radiofrequency in the treatment of gastroesophageal reflux disease (GERD) accompanied by throat symptoms. Methods 370 patients with GERD undergoing radiofrequency ablation at our center from April 2006 to July 2007 were selected. Before and after treatment of throat symptoms for statistical analysis. Results Of the 370 GRED cases, 199 (53.8%) had throat symptoms including foreign body sensation in the throat, itchy throat, throat tightness, hoarseness, sore throat, clear throat and other symptoms. Except for other symptoms after treatment, the scores of different pharynx symptoms were lower than before treatment, the differences were statistically significant (P <0.01). In 134 cases (67.3%), the effective rate was 33.3% -49.4%, the remission rate was 13.0% -18.5%, and the ineffective rate was 33.1% -52.2%. Conclusion GERD can cause throat symptoms, and esophageal micro-radio frequency radiosurgery is effective.