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[声门下狭窄与胃食管反流]

[Subglottic stenosis and gastroesophageal reflux].

作者信息

Fligny I, François M, Aigrain Y, Polonovski J M, Contencin P, Narcy P

机构信息

Service ORL du Pr. Narcy, Hôpital Robert-Debré, Faculté Xavier-Bichat, Paris.

出版信息

Ann Otolaryngol Chir Cervicofac. 1989;106(3):193-6.

PMID:2662870
Abstract

The authors report the cases of ten children treated for sub-glottic laryngeal stenosis, in the Department of Pr. Narcy in Hospital Robert-Debre. Medical treatment of the laryngeal stenosis had failed in these cases. Treatment, most often surgical, of the gastro-oesophageal reflux present in these ten cases enabled these children to be cured. A review of the literature stresses the role and responsibility of gastro-oesophageal reflux in laryngeal pathology. Based on their experience, the authors suggest: systematic investigation for gastro-oesophageal reflux during management of laryngeal stenosis, especially when laryngeal inflammation is encountered; the adoption of an interventionist attitude vis-a-vis gastro-oesophageal reflux which would seem to have an important pathogenic role in certain laryngeal stenoses.

摘要

作者报告了在罗伯特 - 德布雷医院纳西医生科室接受声门下喉狭窄治疗的10名儿童的病例。这些病例中,喉狭窄的药物治疗均告失败。对这10例患儿存在的胃食管反流进行的治疗(多数情况下为手术治疗)使这些儿童得以治愈。文献综述强调了胃食管反流在喉部病变中的作用和责任。基于他们的经验,作者建议:在处理喉狭窄时,尤其是遇到喉部炎症时,对胃食管反流进行系统检查;对于胃食管反流采取干预态度,因为在某些喉狭窄中,胃食管反流似乎具有重要的致病作用。

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