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胃食管反流与咽部功能

Gastroesophageal reflux and pharyngeal function.

作者信息

Ekberg O, Lindgren S

出版信息

Acta Radiol Diagn (Stockh). 1986 Jul-Aug;27(4):421-3. doi: 10.1177/028418518602700410.

DOI:10.1177/028418518602700410
PMID:3776675
Abstract

Pharyngeal function and gastroesophageal reflux were compared in 84 dysphagic patients examined clinically and radiologically. Cricopharyngeal muscle incoordination, assessed cineradiographically, was revealed in 5 of 41 patients (12%) without and 17 of 43 patients (40%) with gastroesophageal reflux assessed clinically (p less than 0.05). Thus, there was a positive correlation between dysfunction of the cricopharyngeal muscle and gastroesophageal reflux. There was no correlation with other types of pharyngeal dysfunction. Our results support the assumption of a positive relationship between gastroesophageal reflux and pharyngeal function in terms of cricopharyngeal dysfunction. The pathogenesis of this relation was, however, not revealed.

摘要

对84例经临床和放射学检查的吞咽困难患者的咽功能和胃食管反流情况进行了比较。通过动态放射造影评估,在41例无胃食管反流临床诊断的患者中有5例(12%)显示环咽肌不协调,而在43例有胃食管反流临床诊断的患者中有17例(40%)显示环咽肌不协调(p<0.05)。因此,环咽肌功能障碍与胃食管反流之间存在正相关。与其他类型的咽功能障碍无相关性。我们的结果支持胃食管反流与环咽肌功能障碍方面的咽功能之间存在正相关的假设。然而,这种关系的发病机制尚未明确。

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