Wang Xingwei
Department of Otolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006 Feb;20(3):129-31.
To investigate the causes of refractory pharyngeal paraesthesia.
Besides routine examination of otolaryngology, 600 patients were tested by fiberoptic laryngoscopy, fiberoptic gastroesophagoscopy, nasal sinuses CT, styloid process X-ray as well as neck and thyroid gland B ultrasonography. Then, they were treated according to respective causes.
Among 600 cases of refractory pharyngeal paraesthesia, 229 (38.2%) cases were diagnosed as gastroesophagitis, 113 (18.8%) nasal sinusitis, 57 (9.5%) climacteric syndromes, 40 (6.7%) chronic tonsillitis, 22 (3.7%) carcinophobia, 13 (2.2%) subacute thyroiditis or thyrophymas, 9 (1.5%) elongation of styloid process and 117 (19.5%) other causes. All patients were treated according to respective causes and total cure rate was 84.2% after 6 months.
There are many causes of pharyngeal paraesthesia. We should pay attention to its relationship with gastroesophagitis and nasal sinusitis etc, especially, gastroesophageal reflux disease.
探讨顽固性咽异感症的病因。
600例患者除接受耳鼻咽喉科常规检查外，还进行了纤维喉镜、纤维食管胃镜、鼻窦CT、茎突X线及颈部和甲状腺B超检查。然后根据各自病因进行治疗。
600例顽固性咽异感症患者中，诊断为胃食管炎229例（38.2%），鼻窦炎113例（18.8%），更年期综合征57例（9.5%），慢性扁桃体炎40例（6.7%），恐癌症22例（3.7%），亚急性甲状腺炎或甲状腺瘤13例（2.2%），茎突过长9例（1.5%），其他原因117例（19.5%）。所有患者均根据各自病因进行治疗，6个月后总治愈率为84.2%。
咽异感症病因众多。应注意其与胃食管炎、鼻窦炎等的关系，尤其是胃食管反流病。
