[窄带成像喉镜在喉咽反流疾病中的价值]

[The value of narrow band imaging laryngoscope for laryngopharyngeal reflux disease].

作者信息

He Ning, Si Yongfeng, Yong Yang, Weng Jingjin, Qin Yangda

机构信息

Department of Otolaryngology-Head and Neck Oncology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Sep;26(18):776-8.

PMID:23259288

Abstract

OBJECTIVE

To investigate the value of narrow-band imaging (NBI) laryngoscope for the diagnosis and therapy of the laryngopharyngeal reflux disease (LPRD).

METHOD

Analyzed the NBI laryngoscope characteristic findings of the throats of 46 LPRD patients which confirmed the diagnosis according to the reflux symptom index (RSI) and reflux finding score (RFS) both positive and the proton pump inhibitor therapy effective.

RESULT

The NBI laryngoscope findings as follows: erythema and edema between the arytenoid cartilages (71.7%), the epiglottis congestion (67.4%), pharyngeal isolation/integration erythema (65.2%), pharyngeal pebbles--like changes (65.2%), hypertrophy of the posterior commissure (52.2%), vocal cord erythema and edema (47.8%), vocal nodules or vocal polyps with erythema, or edema (39.1%), arytenoid cartilages edema and erythema (21.7%), ventricular edema, erythema and laryngeal ventricle disappeared (17.4%), granuloma (6.5%), ulcers (4.3%), false vocal cord ditch (4.3%).

CONCLUSION

LPRD has characteristic findings. NBI laryngoscope is easy to operate and has a high value on the diagnosis and the treatment of the LPRD.

摘要

目的

探讨窄带成像（NBI）喉镜在喉咽反流病（LPRD）诊断及治疗中的价值。

方法

分析46例LPRD患者的咽喉部NBI喉镜特征性表现，这些患者根据反流症状指数（RSI）和反流发现评分（RFS）均为阳性且质子泵抑制剂治疗有效而确诊。

结果

NBI喉镜表现如下：杓状软骨间红斑及水肿（71.7%）、会厌充血（67.4%）、咽隔离/融合红斑（65.2%）、咽鹅卵石样改变（65.2%）、后联合肥厚（52.2%）、声带红斑及水肿（47.8%）、伴有红斑或水肿的声带小结或声带息肉（39.1%）、杓状软骨水肿及红斑（21.7%）、室带水肿、红斑及喉室消失（17.4%）、肉芽肿（6.5%）、溃疡（4.3%）、假声带沟（4.3%）。