【摘要】 目的 探讨下咽部胃黏膜异位引发咽喉反流症状的诊断及治疗方案。方法 复习1例4月龄男婴的病历资料。该患儿因“喉鸣伴发作性呼吸困难”入院。根据患儿病史、喉镜检查结果、RSI量表评分诊断为咽喉反流。电子喉镜检查见喉和食管入口交界处2粒球形肿物，行手术切除。病理提示肿物为异位胃黏膜。结果 术后3个月、1年及3年复诊，患儿呼吸及吞咽功能均得到明显改善，肿物无复发。结论 下咽部胃黏膜异位罕见报道。在诊断儿童咽喉反流过程中，若发现咽喉部黏膜病变或肿物生成，需警惕胃黏膜异位症可能。治疗上以手术切除肿物为主，治疗期间可辅以质子泵抑制剂控制反流症状。更多还原

【Abstract】 Objective To explore the diagnosis and treatment options for pharyngeal reflux symptoms caused by gastric mucosal ectasia in the hypopharynx. Methods The medical records of a 4-month-old boy were reviewed. The child was admitted to the hospital with "laryngeal tinnitus with episodic dyspnea". The diagnosis of laryngopharyngeal reflux was made on the basis of the child’s medical history, laryngoscopic findings, and the RSI scale score. Two spherical masses at the junction of the larynx and the esophageal inlet were examined by electron laryngoscopy and surgically removed. Pathology suggested that the masses were an ectopic gastric mucosa. Results At follow-up examinations at 3 months, 1 year and 3 years after surgery, the children’s respiratory and swallowing functions improved significantly and there was no recurrence of the masses. Conclusion Ectopic gastric mucosa in the hypopharynx is rarely reported. In the process of diagnosing pharyngeal reflux in children, if mucosal lesions or masses are found in the pharynx, the possibility of gastric mucosal ectasia should be alerted. Surgical resection of the mass is the mainstay of treatment, and proton pump inhibitors can be used to control reflux symptoms during treatment.更多还原