Vázquez de la Iglesia Francisco, Fernández González Secundino, Gómez María de la Cámara
Servicio de Otorrinolaringología, Hospital Arquitecto-Marcide, Ferrol, A Coruña, España.
Acta Otorrinolaringol Esp. 2007 Nov;58(9):421-5.
Laryngopharyngeal reflux (RFL) is diagnosed by the presence of laryngeal signs and symptoms. Some studies have noted that signs and symptoms may be non- specific and may have poor correlation. The goal of this study was to assess correlation of the reflux finding score (RFS) and reflux symptom index (RSI) as a fibroendoscopic assessment protocol.
A sample of 34 consecutive volunteers with no prior history of voice disorders were enrolled. All completed a self-administered laryngeal symptom questionnaire (amended RSI) and underwent a comprehensive transnasal fiberoptic laryngoscopy to document RFL findings in a reflux finding score (RFS).
We found a statistically significant correlation between RSI and RFS. This correlation is greater when the RFS score reaches 7 or more points.
In view of the cost and system overload implied by the use of pH-metry, empiric pharmacological therapy is warranted on the basis of a diagnosis of RFL based on RFS and RSI.
喉咽反流（RFL）通过喉部体征和症状来诊断。一些研究指出，体征和症状可能不具有特异性，且相关性较差。本研究的目的是评估反流发现评分（RFS）和反流症状指数（RSI）作为一种纤维内镜评估方案的相关性。
连续纳入34名无嗓音疾病既往史的志愿者样本。所有人均完成了一份自我填写的喉部症状问卷（改良RSI），并接受了全面的经鼻纤维喉镜检查，以通过反流发现评分（RFS）记录RFL的发现。
我们发现RSI与RFS之间存在统计学上的显著相关性。当RFS评分达到7分或更高时，这种相关性更强。
鉴于使用pH值测定法所带来的成本和系统负担，基于RFS和RSI对RFL进行诊断的基础上，经验性药物治疗是必要的。
