|
|||||
|
|
| 西藏高原地区继发性喉结核49例临床分析 | |
| 引用本文： | Wang H,Bai Z,Wang K,Suo L,Liu X,Ma Y,Zhu C,Lin Y,Xie B,Li S. 西藏高原地区继发性喉结核49例临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(21): 977-981 |
| 作者姓名： | Wang H Bai Z Wang K Suo L Liu X Ma Y Zhu C Lin Y Xie B Li S |
| 作者单位： | 1. 解放军总医院耳鼻咽喉头颈外科,北京,100853 2. 西藏军区总医院耳鼻咽喉科 3. 海军总医院耳鼻咽喉头颈外科 4. 西藏军区总医院传染科 |
| 摘 要： | 目的:总结西藏高原地区继发性喉结核的临床特征,进一步提高其诊疗水平。方法:回顾性分析49例西藏高原地区继发性喉结核患者的临床资料。结果:临床诊断47例,病理诊断2例。病程<1年24例,1～3年11例,>3～5年9例,>5年5例。自述有结核病史38例,否认有结核病史11例。34例曾用抗结核药物治疗,但均未按正规方法服药。患者均有长期声嘶、咳嗽、咽喉肿痛等症状,但局部和全身症状均较轻。42例初诊为慢性喉炎,15例口服或雾化吸入糖皮质激素后病情加重,7例初诊为喉癌。喉部特征性表现为:喉的后部苍白水肿、增生结节或糜烂溃疡,喉前部基本正常或病变轻。49例经肺CT或X线证实均伴有肺结核。12例PPD试验呈强阳性,2例痰涂片发现结核菌。诊断性治疗49例均有效。患者均接受标准化疗方案治疗,沐舒坦联合抗结核药物雾化吸入治疗1～2个月。药物治疗结束时,除1例因意外车祸死亡外,临床治愈43例,好转5例。结论:由于西藏高原地区结核病的高发特点,在高原遇到慢性喉炎表现的患者时应想到喉结核的可能。绝大多数喉结核继发于肺结核,应首选肺CT和喉镜检查。继发性喉结核的诊断与肺结核一样,根据症状、喉部特征性表现、诊断性治疗有效等即可确立临床诊断... |
| 关 键 词： | 喉结核 诊断 治疗 |
Secondary laryngeal tuberculosis at high altitudes of Tibet |
|
| Wang Hongtian,Bai Zongxi,Wang Keqin,Suo Langjiebu,Liu Xingwen,Ma Yuebing,Zhu Chengpo,Lin Yongsheng,Xie Benwei,Li Suzhi. Secondary laryngeal tuberculosis at high altitudes of Tibet[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2011, 25(21): 977-981 | |
| Authors: | Wang Hongtian Bai Zongxi Wang Keqin Suo Langjiebu Liu Xingwen Ma Yuebing Zhu Chengpo Lin Yongsheng Xie Benwei Li Suzhi |
| Affiliation: | WANG Hongtian1 BAI Zongxi2 WANG Keqin2 SUO Langjiebu2 LIU Xingwen2 MA Yuebing2 ZHU Chengpo2 LIN Yongsheng3 XIE Benwei4 LI Suzhi2(1Department of Otolaryngology-Head and Neck Surgery,General Hospital of PLA,Beijing,100853,China,2Department of Otolaryngology,Tibetan General Hospital of PLA,3Department of Otolaryngology-Head and Neck Surgery,Navy General Hospital of PLA,4Department of Infecitous Disease,Tibetan General Hospital of PLA) |
| Abstract: | Objective:To improve the diagnostic and therapeutic efficiency for secondary laryngeal tuberculosis through an analysis on the clinical features of patients with this disease.Method: A retrospective study was made among 49 cases with laryngeal tuberculosis treated in Tibetan General Hospital of Chinese PLA,and the clinical data were carefully analyzed to summarize the clinical experience of this disease.Result:Of 49 patients,24 cases had 1 year history,11 cases had 1 to 3 years,9 cases had 3 to 5 years,5 ca... |
| Keywords: | laryngeal tuberculosis diagnosis therapy |
| 本文献已被 CNKI 万方数据 PubMed 等数据库收录！ | |