대한후두음성언어의학회지 (Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics)
- 제19권2호
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- Pages.136-141
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- 2008
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- 2508-268X(pISSN)
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- 2508-5603(eISSN)
인후두 역류환자에서 이동성 24시간 이중 탐침 산도 검사와 인후두 역류 소견 점수와의 상관관계
Relationship between Ambulatory 24-hour Double Probe pH Monitoring and Reflux Finding Score in Patients with LPR
- 박영대 (부산대학교 의학전문대학원 이비인후과학교실) ;
- 강대운 (부산대학교 의학전문대학원 이비인후과학교실) ;
- 이진춘 (부산대학교 의학전문대학원 이비인후과학교실) ;
- 이병주 (부산대학교 의학전문대학원 이비인후과학교실) ;
- 왕수건 (부산대학교 의학전문대학원 이비인후과학교실) ;
- 김광하 (부산대학교 의학전문대학원 내과학교실)
- Park, Young-Dae (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine) ;
- Kang, Dae-Woon (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine) ;
- Lee, Jin-Choon (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine) ;
- Lee, Byung-Joo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine) ;
- Wang, Soo-Geun (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine) ;
- Kim, Gwang-Ha (Department of Internal Medicine, Pusan National University School of Medicine)
- 발행 : 2008.12.15
초록
Background and Objectives: Laryngopharyngeal reflux (LPR) is a very common disease among outpatients of department of otorhinolaryngology. Although there are several diagnostic tools for LPR disease and ambulatory 24-hour double-probe pH monitoring is gold standard method, empirical diagnosis by reflux symptom index and reflux finding score (RFS) are mainly used. So we analyzed the relationship between ambulatory 24-hour double-probe pH monitoring and RFS in patients with LPR. Subjective and Method: Fifty patients with LPR symptoms and abnormal RFS and ambulatory 24-hour double probe monitoring were enrolled. Each items and sum of laryngeal reflux score were compared the results of ambulatory 24-hour double-probe pH monitoring in upper (UES) and lower (LES) esophageal sphincter. Results: There were no significant correlation between the results of ambulatory 24-hour double-probe pH monitoring in UES (pH<4 and pH<5) and each item and sum of RFS. However, supine time and reflux number of UES (pH<5) were showed the partial correlations with diffuse laryngeal edema and thick endolaryngeal mucus (p=0.03, p=0.01). Although there were no relationship between the results of ambulatory 24-hour double-probe pH monitoring in LES and sum of RFS, the significant correlations presented between granuloma and total time (p=0.008), upright time (p=0.008, reflux number (p=0.049) of LES. Conclusion: Although granuloma among items of RFS showed significantly correlation with the results of ambulatory 24-hour double-probe pH monitoring in LES, there were no significant correlation between the results of ambulatory 24-hour double-probe pH monitoring in UES and LES and items and sum of RFS.
키워드