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咽异感症的喉镜观察和食管上括约肌压力检测

laryngoscopic signs and the pressure of upper esophageal sphincter in globus hystericus

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【作者】 陈军徐洁洁陈曦王美峰陆美萍张红杰

【Author】 CHEN Jun, XU Jiejie, CHEN Xi,et al. Department of Otorhinolaryngolgy,First Affilliated Hospital,Nanjing Medical University,Nanjing 210029, CHINA

【机构】 南京医科大学第一附属医院耳鼻咽喉科南京医科大学第一附属医院耳鼻咽喉科南京医科大学第一附属医院消化病科

【摘要】 目的观察咽异感症的喉部特点及食管压力变化,探讨咽异感症与食管上括约肌(UES)压力变化的关系。方法对42例咽异感症患者(病例组)进行食管压力检测和喉镜检查,并与35例正常人(对照组)进行比较。结果病例组的UES静息压是(65.31±15.02)mmHg,明显高于对照组的(47.54±9.52)mmHg(P<0.05);而两组间UES长度差异不明显。喉镜检查病例组72.0%的患者喉部有异常体征,而对照组仅14.2%有异常体征。结论咽异感症与食管上括约肌高压关系密切,并且表现特异性的喉部体征。

【Abstract】 Objective To investigate the laryngeal signs and their relationship with the pressure of the upper esophageal sphincter(UES) in the patients with globus hystericus.Methods Thirty-five healthy volunteers and forty-two patients clinically diagnosed as globus hystericus entered the study. Pressure of UES was measured and the larynx was examined using videolaryngoscopy.Results The mean UES resting pressure was (65.31±15.02)mmHg in the patients group,which was significantly higher than that [(47.54±9.52)mmHg]in the control.There was no statistical difference in the total length of UES between the two groups. 72.0% cases had the laryngeal findings in the patients group.But only 14.2% cases had the laryngeal findings in control group. Conclusion There is a significant relation between hypertensive UES and globus.Hpertensive UES can be considered as an etiology of globus.

  • 【文献出处】 江苏医药 ,Jiangsu Medical Journal , 编辑部邮箱 ,2006年08期
  • 【分类号】R766
  • 【被引频次】7
  • 【下载频次】88
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