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1 3例(8 6.6 7%),两者均阳性6例(4 0%)。在6例咽喉部反流阳性患者中,5例(8 3.3 3%)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。
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.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2012年第6期431-433,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
首都发展基金自主创新及普及推广项目(2009-3074)资助
关键词
声带息肉
咽喉反流
24h双探头pH监测
Vocal cord polyp
Laryngopharyngeal reflux
24-hour dual probe PH monitoring
