论文部分内容阅读
研究咽异感症的临床特征及病因。方法 :对 87例门诊咽异感症患者进行临床调查 ,主要检查手段为食管测压、胃镜、上消化道钡剂造影。结果 :87例患者中 ,女性 5 8例 (6 6 .7% ) ,男性 2 9例 (33.3% )。年龄 2 1～ 6 5岁 ,平均年龄 42 .5岁 ,中位数年龄 42岁。病程 :数日～ 10年 ,1年以下为 79.2 %。主要伴随症状为嗳气 (5 4.0 % ) ,反酸 (34 .5 % ) ,上腹胀 (32 .2 % ) ,烧心 (2 7.6 % )。食管测压检查阳性率达 78.3% ,主要表现为食管体部运动障碍、UES功能障碍及LES功能障碍。胃镜检查阳性率为 44 .7% ,主要表现为慢性活动性胃炎 ,食管炎。上消化道造影阳性率为 36 .4% ,主要表现为食管裂孔疝、胃扭转不良、咽部钡剂潴留等。结论 :咽异感症以中年女性多见 ,其病因与食管、胃疾病关系密切 ,特别是与食管运动功能障碍有关。食管测压是一种有效的检查方法。
To study the clinical features and etiology of pharynx. Methods: The clinical investigation of 87 outpatients with pharyngeal sensation was conducted. The main means of examination were esophageal manometry, endoscopy and upper gastrointestinal barium. Results: Of the 87 patients, 58 (56.7%) were women and 29 (33.3%) were males. Age 2 1 ~ 6 5 years old, average age 42.5 years, median 42 years old. Course of disease: a few days to 10 years, 1 year 79.2%. The main symptoms associated with asthma (5 4.0%), acid reflux (34.5%), abdominal distension (32.2%), heartburn (2 7.6%). The positive rate of esophageal manometry was 78.3%, mainly manifested as esophageal motility disorder, UES dysfunction and LES dysfunction. Gastroscopy positive rate was 44.7%, mainly for chronic active gastritis, esophagitis. The positive rate of upper gastrointestinal angiography was 36.4%, mainly manifested as esophageal hiatal hernia, gastric malrotation, pharyngeal barium retention. Conclusion: The pharyngeal encephalopathy is more common in middle-aged women, the etiology is closely related to esophageal and gastric diseases, especially with esophageal motor dysfunction. Esophageal manometry is an effective method of inspection.