72例鼻咽结核的临床分析

目的　探讨鼻咽结核的诊断与治疗。方法 对72例经活检病理证实的鼻咽结核进行回顾性分析。结果 72例患者中男性31例,女性41例,男女比例为1∶1.32,平均年龄为30.7岁;鼻咽结核以局部症状为特征,颈淋巴结肿大发生率为79.2%(57/72);鼻咽结核在临床上误诊率较高;抗结核治疗9～12个月治愈,随访1～5年,未见复发。结论 近年来鼻咽结核有增加的趋势,尤以原发性病例居多。鼻咽镜活检可确诊,规则抗结核治疗可治愈。

Clinical ananlysis on 72 cases of nasopharyngeal tuberculosis

ObjectiveTo investigate diagnosis and therapy of nasopharyngeal tuberculosis. MethodsSeventy-two cases of nasopharyngeal tuberculosis confirmed pathologically were analyzed retrospectively. Results Seventy-two cases of nasopharyngeal tuberculosis were clinicopathologically confirmed, of which the ratio of male to female was 1:1.32(3141), the average ages of these cases were 30.7. The local symptoms of these cases were the main clinical feature. The incidence of lymph node swelling in cervix was 79.2%(57/72). The diseases were usually misdiagnosed. These cases were cured by anti-tuberculosis therapy for 9 to 12 months. There were no recurrence based the results of 15 years follow-up. ConclusionThe incidence of the disease increase recently, especially primary cases in majorities. The disease can be diagnosed by nasopharyngoscope and clinicopathologic examination and cured by standardized anti-tuberculosis therapy.