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[救命,我打不出嗝!逆行性环咽肌功能障碍的简要概述及病例讨论]

[Help, I can't burp! A brief overview and case discussion of retrograde cricopharyngeal dysfunction].

作者信息

Runggaldier Daniel, Colotto-Vith Ursula, Pohl Daniel, Bohlender Jörg E

机构信息

Klinik für Otorhinolaryngologie, Head and Neck Surgery, Abt. für Phoniatrie und klinische Logopädie, Universitätsspital Zürich, Frauenklinikstrasse 24, 8091, Zürich, Schweiz.

Universität Zürich, Rämistrasse 71, 8006, Zürich, Schweiz.

出版信息

HNO. 2024 Feb;72(2):72-75. doi: 10.1007/s00106-023-01383-x. Epub 2023 Oct 20.

DOI:10.1007/s00106-023-01383-x
PMID:37861741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10827936/
Abstract

In this short communication, we discuss the recently described syndrome of retrograde cricopharyngeal dysfunction (R-CPD) with its first description in 2019 by the laryngologist Dr. Bastian. Diagnosis is generally based on typical clinical symptoms, e.g., the inability to belch, a bloated abdomen and retrosternal gurgling noises. We also describe high-resolution esophageal manometry as a new tool to further secure the diagnosis of R‑CPD, as well as therapeutic options such as botulinum toxin injections in the cricopharyngeal muscle or cricopharyngeal myotomy and the published data thereon.

摘要

在这篇简短的通讯中,我们讨论了最近描述的环咽肌功能逆行障碍(R-CPD)综合征,该综合征于2019年由喉科医生巴斯蒂安博士首次描述。诊断通常基于典型的临床症状,例如无法嗳气、腹部胀气和胸骨后咕噜声。我们还描述了高分辨率食管测压法作为进一步确诊R-CPD的一种新工具,以及诸如在环咽肌注射肉毒杆菌毒素或环咽肌切开术等治疗选择及其相关已发表数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/9dd7a6d4e855/106_2023_1383_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/fea44a398b36/106_2023_1383_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/075801844c79/106_2023_1383_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/9dd7a6d4e855/106_2023_1383_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/fea44a398b36/106_2023_1383_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/075801844c79/106_2023_1383_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ecf/10827936/9dd7a6d4e855/106_2023_1383_Fig3_HTML.jpg

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本文引用的文献

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Ear Nose Throat J. 2023 Mar 2:1455613231162203. doi: 10.1177/01455613231162203.
2
Retrograde Cricopharyngeus Dysfunction: The Jefferson Experience.环咽肌功能障碍:杰斐逊医院的经验
Laryngoscope. 2023 May;133(5):1081-1085. doi: 10.1002/lary.30346. Epub 2022 Aug 23.
3
The inability to belch syndrome: A study using concurrent high-resolution manometry and impedance monitoring.无法嗳气综合征:一项使用同时进行的高分辨率测压和阻抗监测的研究。
Neurogastroenterol Motil. 2022 May;34(5):e14250. doi: 10.1111/nmo.14250. Epub 2021 Aug 26.
4
Abelchia: inability to belch/burp-a new disorder? Retrograde cricopharyngeal dysfunction (RCPD).Abelchia:呃逆/嗳气障碍——一种新的疾病?环咽肌功能障碍逆行(RCPD)。
Eur Arch Otorhinolaryngol. 2021 Dec;278(12):5087-5091. doi: 10.1007/s00405-021-06790-w. Epub 2021 Apr 24.
5
The Long-term Efficacy of Botulinum Toxin Injection to Treat Retrograde Cricopharyngeus Dysfunction.肉毒杆菌毒素注射治疗环咽肌功能障碍的长期疗效
OTO Open. 2020 Jun 29;4(2):2473974X20938342. doi: 10.1177/2473974X20938342. eCollection 2020 Apr-Jun.
6
Partial Cricopharyngeal Myotomy for Treatment of Retrograde Cricopharyngeal Dysfunction.部分环咽肌切开术治疗环咽肌功能障碍
OTO Open. 2020 Apr 16;4(2):2473974X20917644. doi: 10.1177/2473974X20917644. eCollection 2020 Apr-Jun.
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Inability to Belch and Associated Symptoms Due to Retrograde Cricopharyngeus Dysfunction: Diagnosis and Treatment.环咽肌功能障碍导致的呃逆不能及相关症状:诊断与治疗
OTO Open. 2019 Mar 15;3(1):2473974X19834553. doi: 10.1177/2473974X19834553. eCollection 2019 Jan-Mar.
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Dysfunction of the belch reflex. A cause of incapacitating chest pain.嗳气反射功能障碍。导致失能性胸痛的一个原因。
Gastroenterology. 1987 Oct;93(4):818-22. doi: 10.1016/0016-5085(87)90445-8.