咽异感症的病因诊断

Etiological diagnosis of paresthesia pharyngis

目的 对咽异感症患者进行全面的病因检查 ,以提高对此症的认识 ,减少误诊、漏诊。方法 对186例主诉咽异感症的患者进行认真的病史询问 ,系统地做咽喉部、邻近器官及相关的全身检查、治疗、观察 ,做出最后诊断。结果 186例患者中 ,病因为咽部炎性疾病占 61.3 % ,咽喉部肿瘤占 12 .4% ,邻近器官疾病占9.7% ,颈部疾病占 3 .2 % ,消化系统疾病占 5 .9% ,非器质性疾病占 7.5 %。结论 咽喉部感觉异常 ,常非单一疾病 ,而是多种疾病引起的咽喉症状 ,认真检查病因 。

Objective To increase congnition and decrease misdiagnosis or missed diagnosis by overall checking etiological factor of patient with paresthesia pharyngis.Methods One hundred and eighty-six cases of paresthesia pharyngis were seriously inquired for their history;laryngopharynx and neighboring organs were examined;general physical checkup was made;observing their therapeutic efficacy and making final diagnosis.Results Of the etiological factors,pharyngeal inflammation made up 61.3%,pharyngeal tumor 12.4%,diseases of neighboring organ 9.7%,cervical diseases 3.2%,disease of digestive system 5.9%,and non-organic disease 7.5%.Conclusion Laryngopharyngeal paresthesia usually isn′t a single disease,it is pharyngeal symptom caused by various diseases.Its etiological factors must be seriously checked so as to make a correct diagnosis.