在常规喉回流诊断中偶然的喉发现
Forsan Jahshan1, Tal Marshak2, Jamal Qarawany3
1Department of Otolaryngology-Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, Department of Otolaryngology, Head and Neck Surgery, Hillel Yaffe Medical Center, Hadera, Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
喉回流 (LPR) 患者有偶然的喉发现 (ILF) 显示出更高的症状得分. 在LPR评估中的喉腔镜检查可以揭示其他喉疾病.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
背景情况:
- 喉回流 (LPR) 涉及胃中的内容回流到喉和喉.
- 慢性喉炎的诊断依赖于患者病史和喉镜检查结果.
- 慢性肺炎的症状可以与声粒瘤和喉癌等疾病重叠.
研究的目的:
- 为了比较LPR患者的特征,并没有偶然的喉发现 (ILF).
主要方法:
- 对160张LPR患者病历 (2016-2018) 的回顾性分析.
- 收集的数据包括反流症状指数 (RSI),反流发现得分 (RFS) 和人口统计数据.
- 基于喉镜检查期间ILF存在的阳性RSI评分 (RSI > 9) 的患者进行比较.
主要成果:
- 12.5%的LPR患者患有ILF,主要是声带白血病,息肉或结节.
- 患有ILF的患者报告了显著增加的声,喉清,吞和呼吸困难.
- 在ILF患者中观察到较高的总RSI得分.
结论:
- 对LPR症状的评估可以帮助耳鼻喉科医生识别有偶发喉镜发现的患者.
- 光纤喉腔镜对于诊断LPR患者的偶然发现至关重要.
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