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目的探索纤维喉镜用于食管检查的可行性及临床效果。方法选择需要辨别食管病变的患者209例,应用带显示系统纤维喉镜进行食管检查。结果 209例中共查出有明显食管疾病患者117例,其中反流性食管炎76例,食管裂孔疝7例,霉菌性食管炎5例,食管憩室3例,食管静脉曲张3例,Barrett食管1例,食管黄色素瘤1例,食管息肉2例,食管癌7例,贲门癌1例,异物11例。以上病变均得到胃镜和/或病理支持。结论纤维喉镜可用于食管检查,且痛苦小,方便患者,有益于耳鼻咽喉科医生对食管反流性咽喉疾病的诊断获取第一手资料。
Objective To explore the feasibility and clinical effect of fiberopharyngoscopy for esophageal examination. Methods A total of 209 patients with esophageal lesions were selected for esophagectomy using a fiberoptic laryngoscope with a display system. Results A total of 117 Chinese patients with esophageal disease were found in 209 cases, including 76 cases of reflux esophagitis, 7 cases of hiatal hernia, 5 cases of fungal esophagitis, 3 cases of esophageal diverticulum, 3 cases of esophageal varices, 3 cases of Barrett’s esophagus Cases, esophageal yellow tumor in 1 case, esophageal polyps in 2 cases, esophageal cancer in 7 cases, cardia cancer in 1 case, foreign body in 11 cases. The above lesions were endoscopy and / or pathological support. Conclusion Fibrolaryngoscope can be used for esophageal examination, and the pain is small, convenient for patients, is good for otolaryngology doctor for the diagnosis of esophageal reflux disease to obtain first-hand information.