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[感觉性喉神经病变的诊断与治疗进展]

[Advances of the treatments and diagnosis for sensory laryngeal neuropathy].

作者信息

Chen Huihong, Zhu Gangcai, Zhang Xin

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Mar;34(3):281-284. doi: 10.13201/j.issn.2096-7993.2020.03.024.

DOI:10.13201/j.issn.2096-7993.2020.03.024
PMID:32791602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10127843/
Abstract

Sensory laryngeal neuropathy(SLN) is a kind of peripheral neuropathy presenting globus pharyngeus, chronic cough, increased mucus, dry throat, sore throat, frequent clearing of the throat, etc. When the sensory nerve of the larynx is affected by chemical, biological, mechanical or nutritional factors. Because of its nonspecific signs and symptoms, SLN is easy to be misdiagnosed as chronic pharyngitis or laryngopharyngeal reflux disease. SLN was came up to ENT physician in recent years and there are rare systematic reports currently, therefore, this review aims to summarize the etiology, clinical manifestations, diagnosis and treatment of SLN, to raise awareness of this disease among our colleagues.

摘要

感觉性喉神经病变(SLN)是一种周围神经病变,表现为咽部异物感、慢性咳嗽、黏液增多、咽干、咽痛、频繁清嗓等。当喉的感觉神经受到化学、生物、机械或营养因素影响时就会发生。由于其体征和症状不具特异性,SLN容易被误诊为慢性咽炎或喉咽反流病。近年来SLN引起了耳鼻喉科医生的关注,目前尚无罕见的系统报道,因此,本综述旨在总结SLN的病因、临床表现、诊断和治疗,以提高我们同行对这种疾病的认识。

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本文引用的文献

1
Superior laryngeal nerve block for neurogenic cough: A case series.喉上神经阻滞治疗神经性咳嗽:病例系列
Laryngoscope Investig Otolaryngol. 2019 Jul 5;4(4):410-413. doi: 10.1002/lio2.292. eCollection 2019 Aug.
2
Insights on the Use of α-Lipoic Acid for Therapeutic Purposes.α-硫辛酸用于治疗目的的相关见解。
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3
Laryngopharyngeal Reflux and Functional Laryngeal Disorder: Perspective and Common Practice of the General Gastroenterologist.喉咽反流与功能性喉病:普通胃肠病学家的观点与常见做法
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Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Aug 7;53(8):635-639. doi: 10.3760/cma.j.issn.1673-0860.2018.08.017.
5
[Analysis on clinical characters of pharyngeal paraesthesia in patients with different degrees of anxiety].[不同程度焦虑患者咽异感症的临床特征分析]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Mar 20;31(6):441-445. doi: 10.13201/j.issn.1001-1781.2017.06.008.
6
Chronic laryngopharyngeal vagal neuropathy.慢性喉咽迷走神经病变
Braz J Otorhinolaryngol. 2018 Jul-Aug;84(4):401-403. doi: 10.1016/j.bjorl.2018.04.001. Epub 2018 Apr 24.
7
Treatment of chronic neurogenic cough with in-office superior laryngeal nerve block.门诊行喉上神经阻滞治疗慢性神经性咳嗽
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It is vital to identify the underlying cause of chronic laryngopharyngeal neuropathy.确定慢性喉咽神经病变的潜在病因至关重要。
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