咽喉反流与声带息肉之间的相关性研究
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张延平,Email:yzhan28@163.com.

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首都发展基金自主创新及普及推广项目(2009-3074)资助。


Relationship between laryngopharyngealreflux and vocal cord polyps
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    摘要:

    目的 探讨咽喉反流与声带息肉之间的关系。方法 选取2010年3月~2011年3月手术后经病理确诊的声带息肉患者15例,术后经患者同意行24 h双探头pH监测观察咽喉反流及胃食管反流与声带息肉的关系。结果 15例患者进行监测,咽喉部反流阳性6例(40%),食管反流阳性13例(86.67%),两者均阳性6例(40%)。在6例咽喉部反流阳性患者中,5例(83.33%)反流症状数量表阳性,4例(66.67%)反流检查计分阳性;13例食管反流阳性的患者中9例(69.23%)反流症状数量表阳性,11例(84.62%)反流检查计分阳性。结论 上消化道及咽喉反流在声带息肉的发生、发展中可能起到一定的作用,胃反流物刺激可能是声带息肉发生的直接病因或是诱因之一。

    Abstract:

    Objective To investigate the relationship between laryngopharyngeal reflux and vocal cord polyps. Methods 15 patients with vocal cord polyps which diagnosed with postoperative pathological examination were recruited and performed 24hour dual probe pH monitoring from Mar.2010 to Mar 2011. All these patients signed informed consent. Results Of all the 15 patients, 6(40%) were found pH positive at larynx, 13(86.67%) at esophagus and 6(40%) at both. Among the 6 patients with laryngeal reflux, the case number of positive reflux symptom index (RSI) and reflux finding score (RFS) was 5 (83.33%) and 4 (66.67%) respectively. In the 13 patients with esophageal reflux, the case number of positive RSI and RFS was 9 (69.23%) and 11 (84.62%) respectively. Conclusion The reflux of upper gastrointestinal tract and laryngopharynx may play a certain role in the development of vocal cord polyps. As a stimulator, the gastrofeflux might be the direct or incentive cause for vocal cord polyps. And the stimulator of gastroreflux might be the direct or incentive cause for vocal cord polyps.

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李丽娜 张延平 周凤书 邓惠严 王戈 毕欣欣 张晓强 张俊伟 赵宇静.咽喉反流与声带息肉之间的相关性研究[J].中国耳鼻咽喉颅底外科杂志,2012,18(6):431-433

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  • 在线发布日期: 2012-12-31
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