对全球感觉患者的差异化方法:评估诊断程序和量身定制治疗的价值
Jiri Podzimek1, Peter Jecker1, Orlando Guntinas-Lichius2
1Department of ENT, Head and Neck Surgery and Plastic Surgery, Klinikum Bad Salzungen, Bad Salzungen, Germany.
Journal of voice : official journal of the Voice Foundation
|August 7, 2025
概括
一种系统的诊断方法有效地确定了大多数患者球体感觉的原因. 对酸性反流或有机病理的向治疗导致了显著的症状改善,突出了该方案的价值.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 诊断医学 诊断医学 诊断医学
背景情况:
- 环球体感觉,通常呈现为无法解释的喉块,影响着大量患者群体.
- 以前的诊断方法有所变化,导致有效管理的挑战.
研究的目的:
- 评估全球感觉综合诊断策略的有效性.
- 根据已识别的病因,评估针对性疗法的影响.
主要方法:
- 一项针对80名具有球体感觉的患者的前性研究.
- 使用临床检查,部超声波和24小时双探针pH监测.
- 使用反流症状指数和格拉斯哥爱丁堡喉尺度评估治疗反应.
主要成果:
- 在78.8%的患者中确定了潜在的原因;酸性反流病 (47.5%) 和有机病理 (31.3%) 是最常见的.
- 70%的患者在量身定制的干预措施后实现了治疗反应 (>50%的症状减少).
- 酸性逆流性疾病是治疗反应的重要预测因素.
结论:
- 系统的诊断协议对于有效的全球感觉管理至关重要.
- 基于已确定原因的向治疗可以显著改善患者.
- 这种方法提高了全球感觉患者的治疗效果.
相关概念视频
Taste Buds and Receptors
2.8K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
2.8K
Gastroesophageal Reflux Disease II: Clinical Features and Management
212
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
212
Barrett Esophagus-II: Clinical Manifestations and Management
301
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
301
Esophageal Strictures-II: Clinical Features and Management
158
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
158
Endoscopic Procedures I: Esophagogastroduodenoscopy
354
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
354
Assessment of the Gastrointestinal System I: Subjective Data
280
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
280


