呼吸道硬结病18例临床分析

目的：探讨呼吸道硬结病早期诊断的意义及误诊的原因。方法：对18例呼吸道硬结病并发喉梗阻的治疗及临床特征进行分析。结果：发现呼吸道硬结病早期误诊情况较为严重。药物治疗、气管切开术、激光技术、喉扩张子的综合应用对此病的疗效较好，有效率达100％，拔管率达92．3l％。结论：早期确诊是防止病情向纵深发展的关键，临床医师较强的诊断意识及较高的病理诊断技术可有效防止早期误诊。

Rhinoscleroma: Clinical Analysis of 18 Cases

Objective:To explore the significance of early diagnosis of rhinoscleroma and to find out the causes for the misdiagnosis.Methods:A retrospective analysis was conducted on the therapeutic efficacy and clinical features of 18 patients with rhinoscleroma.Results:Misdiagnosis of rhionscleroma was very common at early stage of the disease. With the application of chemotherapy,tracheotomy,laser technique,laryngeal dilation,a good response would be achieved in treatment of rhinoscleroma with a effective rate of 100% and decannulation rate of 92.31%.Conclusions:An early diagnosis of rhinoscleroma was thought to be the key to prevent advancement of rhinoscleroma.Physicians' diagnostic consciousness and awareness of pathological diagnosis could effectively prevent an early misdiagnosis of the disease.