吞咽困难评估

最后审阅: 4 Oct 2024
最后更新: 30 Aug 2023

小结

鉴别诊断

常见

  • 咽炎
  • 食管念珠菌病
  • 卒中
  • 肌肉紧张性吞咽困难
  • 弥漫性食管痉挛
  • 胃食管反流
  • 食管裂孔疝
  • 颈椎手术后
完整详情

不常见

  • 会厌炎
  • 咽后壁脓肿
  • 口咽癌(鳞状细胞癌)和转移
  • 食管憩室
  • 环咽切迹
  • 甲状腺肿大(甲状腺肿)
  • 颈部淋巴结肿大
  • 口咽部狭窄
  • 帕金森病
  • 声带麻痹
  • 多发性硬化
  • 重症肌无力
  • 干燥综合征
  • 硬皮病
  • 炎症性肌病
  • 肌萎缩侧索硬化 (ALS)
  • 进行性核上性麻痹
  • Wilson 病(肝豆状核变性)
  • 迟发性运动障碍
  • 特发性贲门失弛缓症
  • 胡桃夹食管
  • 腐蚀性药物
  • 药物诱发的损伤
  • 放射暴露
  • 食管癌
  • 鼻异物
  • 良性食管肿瘤 (平滑肌瘤、脂肪瘤、息肉)
  • 食管转移性肿瘤
  • 食管压迫
  • Schatzki 环
  • 胃食管肌环
  • 食道憩室
  • 嗜酸性粒细胞性食管炎
  • 食管蹼
  • 肉毒中毒
  • 口腔黏膜炎
  • 颈椎增生
完整详情

撰稿人

作者

Steven J. Charous, MD, FACS

Clinical Professor of Otolaryngology - Head and Neck Surgery

Loyola University Medical Center

Maywood

IL

利益声明

SJC declares that he has no competing interests.

鸣谢

Dr Steven J. Charous would like to gratefully acknowledge Dr Michael F. Vaezi and Dr Farnoosh Farrokhi, the previous contributors to this topic.

利益声明

MFV and FF are authors of references cited in this topic.

同行评议者

Daniel Leffler, MD, MS

Instructor in Medicine

Harvard Medical School

Director of Clinical Research

The Celiac Center

Beth Israel Deaconess Medical Center

Boston

MA

利益声明

DL declares that he has no competing interests.

Rahul K. Shah, MD, FAAP

Associate Professor of Otolaryngology and Pediatrics

Division of Otolaryngology

Children's National Medical Center

Assistant Professor

Otolaryngology and Pediatrics

George Washington University School of Medicine and Health Sciences

Washington

DC

利益声明

RKS declares that he has no competing interests.

Janet Wilson, BSc, MD, FRCSEd, FRCSEng

Professor of Otolaryngology - Head and Neck Surgery

Newcastle University

Honorary Consultant Otolaryngologist

Freeman Hospital

Newcastle-Upon-Tyne

UK

利益声明

JW declares that she has no competing interests.

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