管腔内pH监测在反流性疾病中的应用

doi:10.6040/j.issn.1673-3770.0.2019.036

摘要/Abstract

摘要： 反流性疾病包括为食管反流病(GERD)和咽喉反流性疾病(LPRD),两者虽在发病机制及表现上有所不同,但均指胃内容物向上反流导致的疾病。GERD尤其是LPRD/胃食管气道反流性疾病其临床症状缺乏特异性,且体征往往不完全与疾病严重程度相符,临床实践中做出正确诊断并不容易。pH监测可以客观直接监测食管或咽喉部酸碱度变化,克服了通过主观症状诊断的非特异性,其在反流性疾病诊断中的意义不言而喻,论文对管腔内pH监测的发展历程和其特点进行综述。

关键词: 管腔, pH检测, 胃食管反流, 咽喉反流

Abstract: Reflux diseases such as gastroesophageal reflux disease(GERD)and laryngopharyngeal reflux disease(LPRD)are caused by upward reflux of gastric contents, but differ in pathogenesis and manifestations. The clinical symptoms of GERD, especially LPRD, are non-specific; therefore, it is difficult to correctly diagnose these diseases in clinical practice. However, pH changes in the esophagus or throat can be objectively and directly monitored to circumvent diagnoses based on the non-specific subjective symptoms, and therefore can be used in the diagnosis of reflux diseases. Here, we review the developmental processes and characteristics of intraluminal pH monitoring.

Key words: Lumen, pH monitoring, Gastroesophageal reflux, Laryngopharyngeal reflux

中图分类号:

R766

孙喆喆,吴玮,王刚. 管腔内pH监测在反流性疾病中的应用[J]. 山东大学耳鼻喉眼学报, 2019, 33(6): 90-94.

SUN Zhezhe, WU Wwei, WANG Gang. Utility of intraluminal pH monitoring in reflux diseases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 90-94.

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