鼻后滴漏综合征300例

目的加强对鼻后滴漏综合征的认识，探讨其临床表现与病因之间的关系，并藉此提高诊治水平。方法回顾分析近年本院诊治的300例以鼻后滴漏为主要临床特点而并发慢性咳嗽和咽部各种不适症状的鼻-鼻窦、鼻咽疾病患者的临床表现、治疗及随访结果。结果本组以慢性咳嗽和咽部各种不适为主诉病例均有相关鼻-鼻窦、鼻咽疾病，病程平均20.3个月。其中鼻腔鼻窦疾病243例，包括鼻炎30例(10.0%)，变应性鼻炎59例(19.7%)，鼻窦炎64例(21.3％)，鼻窦炎鼻息肉77例(25.7％)，鼻腔鼻窦肿瘤13例(4.3%)；鼻咽疾病57例，包括炎性疾病50例(16.7%)，肿瘤疾病7例(2.3%)。误诊率达78.7％（236/300）。经过抗感染、抗变态反应治疗以及必要的手术、放疗等处理，290例（96.7%）咳嗽症状消失，10例（3.3%）症状明显好转。随访1年以上，8例（2.7%）复发，重复处理仍有效。结论加强鼻后滴漏综合征的认识是明确诊断、减少误诊、漏诊和指导有效对因治疗的重要措施，规范的常规检查是减少误诊的重要手段，对因治疗为主的综合处理是疗效的保证。

Postnasal drip syndrome in 300 cases

ObjectiveTo study the etiopathogenisis and clinical manifestations of postnasal drip syndrome. MethodsThe clinic manifestations, treatments and follow-up results of 300 cases in our hospital in recent years were retrospectively analyzed. Postnasal drip is mainly complicated with sinus nasalis and nasopharynx diseases and it often induces chronic cough and various kinds of discomforts in the pharyngeal portion. ResultsAll cases mainly had chronic and various kinds of discomfort in the pharyngeal portion related to sinus nasalis and nasopharynx diseases. Of the total, 243 cases related to diseases in the nasal cavity and the sinus nasalis, of which rhinitis happened in 30, periodic rhinitis in 59, naso sinusitis in 64, naso sinusitis polypus in 77 and tumor in the nasal cavity and the sinus nasalis in 13. Also, 57 cases related to nasopharynx diseases, including 50 cases of inflammatory diseases and 7 cases of neoplastic diseases. The misdiagnosis rate was up to 78.7 percent. After anti-infective treatment, anti-allege, necessary surgeries and radiotherapies, the cough symptoms of 290 cases disappeared and of 10 cases apparently improved. During a 1-2 year follow-up, 8 cases relapsed, but the same treatment measures still had an effect. ConclusionsStrengthening the knowledge of postnasal drip syndrome is an important step to diagnose, reduce the rate of misdiagnosis and guide therapy. In order to reduce the misdiagnosis rate, it is necessary to use the standard check. Also the all-round treatments according to the causes are guarantees for curative effects.