一种用于评估喉咽反流的新评分系统。
A novel scoring system for evaluating laryngopharyngeal reflux.
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Baselland, Liestal and University Hospital of Basel, Basel, Switzerland.
Department of Gastroenterology, Kantonsspital Baselland, Liestal, Switzerland.
出版信息
Clin Otolaryngol. 2021 May;46(3):594-601. doi: 10.1111/coa.13721. Epub 2021 Feb 4.
OBJECTIVE
Although laryngopharyngeal reflux (LPR) is a common condition in daily practice, no gold standard exists for its diagnosis. The objective of this study was to establish a simple and reliable scoring system for evaluating LPR consisting of both subjective and objective criteria.
METHODS
This retrospective study includes 124 patients presenting with symptoms of LPR. In all patients, reflux symptom index (RSI), reflux finding score (RFS), oropharyngeal pH monitoring (PHM) and transnasal oesophagoscopy (TNE) were performed and rated in a special scoring system.
RESULTS
A Horvath Score of 4-5 for severe LPR was found in 76 patients (61%), a score of 2-3 for non-severe LPR in 38 patients (31%) and a score of 0-1 for non-existing LPR in 10 patients (8%) by combining the 4 validated diagnostic methods.
CONCLUSION
The proposed scoring system qualifies as a simple and reliable tool for evaluating LPR in daily practice, directly impacting patient management.
目的
尽管喉咽反流（LPR）在日常实践中很常见，但尚无诊断该病的金标准。本研究旨在建立一种简单可靠的评分系统，用于评估同时包含主观和客观标准的 LPR。
方法
本回顾性研究纳入了 124 例有 LPR 症状的患者。对所有患者均进行反流症状指数（RSI）、反流性疾病评分（RFS）、咽部 pH 监测（PHM）和经鼻胃镜（TNE）检查，并在特殊评分系统中进行评分。
结果
通过结合 4 种已验证的诊断方法，76 例患者（61%）的严重 LPR 霍瓦特评分（Horvath Score）为 4-5 分，38 例患者（31%）的非严重 LPR 评分 2-3 分，10 例患者（8%）的不存在 LPR 评分 0-1 分。
结论
所提出的评分系统是一种在日常实践中评估 LPR 的简单可靠工具，直接影响患者的管理。
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