36例喉结核临床诊治分析

目的探讨喉结核临床表现及误诊原因。方法回顾性分析36例经组织病理确诊喉结核患者的临床资料。结果声音嘶哑、喉痛为喉结核主要症状；喉镜显示病变主要累及声带、室带、环后区；病变形态以肉芽样或结节样增殖性病变为主。经系统抗结核治疗1a，33例治愈，2例失访，1例复发。结论喉结核全身及局部症状不典型，喉镜检查、痰涂片及结核菌素纯蛋白衍化物试验等有助于诊断，确诊依据组织病理检查，规范抗结核药物治疗效果良好。

Analysis of clinical diagnosis and treatment of laryngeal tuberculosis in 36 cases

Objective To investigate the clinical manifestations and the reason of misdiagnosis of laryngeal tuberculosis. Methods The clinical data of 36 cases of pathologically confirmed laryngeal tuberculosis were analyzed retrospectively. Results Hoarseness and laryngalgia were the main symptoms. Laryngoscopy showed the lesions mainly involved vocal cords, false vocal cords and postcricoid area. The main forms of lesions were granuloma and nodular proliferative lesions. All these 36 cases received one-year treatment, in which 33 cases were cured, 2 cases failed to be followed up and 1 case relapased. Conclusions Laryngeal tuberculosis does not have typical systemic or local characteristics. Detailed history, careful laryngoscopy check, sputum smear and purified protein derivative experiment are helpful to the diagnosis, but the correct diagnosis depends on pathologic examination. The standard anti-tuberculosis drug therapy can contribute to good therapeutic effects.