Siau Richard, Kinshuck Andrew, Houghton Lisa
Ear, Nose and Throat Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Speech and Language Therapy Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Br J Hosp Med (Lond). 2021 Mar 2;82(3):1-8. doi: 10.12968/hmed.2021.0038. Epub 2021 Mar 31.
Globus is the sensation of a foreign body in the throat. Investigation and management of patients with globus is widely variable. Most investigations yield negative results yet incur varying patient morbidity and healthcare costs, while malignancy is vanishingly rare in the absence of red flag symptoms and ear, nose and throat examination findings. History taking is key and can help to identify possible causative pathology, directing further investigations and management if necessary. Treatment of globus mainly centres on patient reassurance and counselling, and may include reflux management, neuromodulation, or speech therapy in selected cases, and treatment of any identified cause.
咽部异感症是指咽喉部有异物感。对咽部异感症患者的检查和处理差异很大。大多数检查结果为阴性，但却会给患者带来不同程度的不适以及产生不同的医疗费用，而在没有警示症状和耳鼻咽喉检查异常发现的情况下，恶性病变极为罕见。病史采集是关键，有助于识别可能的致病病理情况，必要时指导进一步的检查和处理。咽部异感症的治疗主要是让患者安心并给予咨询，在某些特定情况下可能包括抗反流治疗、神经调节或言语治疗，以及对任何已查明病因的治疗。
