胃食管反流性咳嗽的外科治疗  

Surgical treatment of gastroesophageal reflux-related cough

作　　者：吴继敏 刘健男 Wu Jimin;Liu Jiannan(Department of Gastroesophageal Reflux Disease,PLA Rocket Force Characteristic Medical Center,Beijing 100088,China)

机构地区：[1]火箭军特色医学中心胃食管外科,北京100088

出　　处：《中华结核和呼吸杂志》2023年第10期961-964,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：胃食管反流性咳嗽(GERC)是胃食管反流病(GERD)的一种食管外表现,是慢性咳嗽的常见原因。由于涉及多个学科,且缺乏特异性,GERC在慢性咳嗽的诊断和治疗中的难度最大。近年来,随着对GERC研究的加深,很多关键问题已经形成共识,2021年版咳嗽的诊断与治疗指南(简称咳嗽指南)给出了关于GERC诊治的很多重要指导。不过咳嗽指南中关于GERC外科治疗的部分并不多,本文将着重从手术方式、现状、指征和疗效等方面概要阐述GERC的外科治疗。Gastroesophageal reflux-related cough(GERC)is an extra-esophageal manifestation of gastroesophageal reflux disease(GERD)and a common cause of chronic cough.GERC is the most difficult of the chronic cough to diagnose and treat because of its lack of specificity and its multidisciplinary nature.In recent years,research into GERC has led to a consensus on many key issues.The 2021 edition of the Guidelines for the Diagnosis and Treatment of Cough(Cough guidelines)provides important guidance on the diagnosis and treatment of GERC.However,the surgical treatment of GERC is not well covered in the Cough guidelines.This article summarizes the surgical treatment of GERC in terms of surgical methods,current situation,indications for operation and curative effects.

关 键 词：胃食管反流性咳嗽 慢性咳嗽 外科治疗 食管外表现 常见原因 GER 手术方式 

分 类 号：R655.4[医药卫生—外科学]