87例咽异感症的临床研究  

A CLINICAL STUDY ON 87 CASES OF PARYNGEAL PARAESTHESI

作　　者：朱元民[1] 赵景涛[1] 刘玉兰[1] 

机构地区：[1]北京医科大学人民医院消化内科,100044

出　　处：《中国现代医学杂志》2000年第3期1-2,共2页China Journal of Modern Medicine

摘　　要：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 investigate the clinical manifestations and etiology of pharyngeal paraesthesia.Methods:Analyzed clinical manifestation of 87 patients with pharyngeal paraesthesia.Examined them by esophageal manometry,endoscopy and upper digestive tract barium radiography.Results:87 cases included 58(66.7%) females and 29(33.3%) males.Aged 21-61 years.Mean 42.5 years. Because the disease was between several days and ten years,majority of them was less than one year.The main concomitant symptoms were belching(54.0%),acid regurgitation(34.5%),abdominal distention(32.2%) and heartburn(27.6%).The positive rate of esophageal manometry was 78.3%,including esophageal body motor dyscinesia,UES dysfunction and LES dysfunction.The positive rate of endoscopy was 44.7%,including Chronic gastritis,esophagitis.The positive rate of upper digeative tract radiography was 36.4%,including hiatal hernia,pharyngeal residue of barium et al.Conclusions:Pharyngeal paraesthesia was more frequently taken on adult females,the etiology was associated with esophageal and gastric diseases,specially with esophageal motor dysfunction.Esophageal manometry is a valuable and sensitive technique for the disease.

关 键 词：咽异感症 食管测压 食管运动功能障碍 

分 类 号：R766.202[医药卫生—耳鼻咽喉科] R571.02[医药卫生—临床医学]