结核性中耳乳突炎误诊原因分析

目的 探讨结核性中耳乳突炎误诊原因。方法 对12例（14耳）结核性中耳乳突炎的临床资料进行回顾性分析。结果 结核性中耳乳突炎多以耳漏、鼓膜大穿孔、鼓室内大量苍白色或红色肉芽组织、听力损失较重为特征、结论 结核性中耳乳突炎临床表现不典型，易于慢性化脓性中耳乳突炎相混淆；临床医生应重视此病，结合病史，体检、影像学检查、病理学检查以及其他特殊检查，以明确诊断。

Analysis of Disdiagnosis of Tuberculosis Otitis Media and Mastoiditis

Objective To investigate the disdiagnosed cause of tubercular otitis media and mastoiditis.Methods The clinical data of 12 cases (14 ears) with tubercular otitis media and mastoiditis were analyzed retrospectly.Results Tubercular otitis media and mastoiditis was mainly characterized by otorrhea,big perforation of tympanic membrane,abundant pale or red granulation,heavy deafness.Conclusions The clinical manifestation of tubercular otitis media and mastoiditis was not characteristic and it was usually considered as chronic suppurative otitis media.The doctors should attach importance to this kind of diseases.The correct diagnosis was made malinly by the combination of case history,physical ckeck up,image and pathological examination or other special examination.