咽部放线菌病6例临床分析

目的总结咽部放线菌病患者的临床资料,探讨其临床特征和诊疗方法。方法回顾性分析2015年9月至2019年10月收治的咽部放线菌病6例,行电子鼻咽喉镜检查、特异性感染筛查、分泌物培养、组织活检病理检查。采用青霉素类抗生素、局部清理、雾化吸入等综合治疗。结果所有病例均确诊为放线菌病,经治疗后症状全部改善,病灶消失,随访3个月~1年无复发。结论咽部放线菌病与局部慢性病变相关,主要依靠病理学检查确诊,抗生素、雾化、局部清理的综合治疗效果确切。

Clinical analysis of 6 cases of pharyngeal actinomycosis

Objective To summarize the clinical data of patients with pharyngeal actinomycosis and discuss the clinical characteristics, diagnosis, and treatment methods. Methods Six cases of pharyngeal actinomycosis diagnosed between September 2015 and October 2019 by a combination of video rhinolaryngoscopy, screening for specific infection, secretion culture, and biopsy were evaluated. The patients were treated with penicillin antibiotics, local cleaning, and atomization inhalation. Results All cases were diagnosed as pharyngeal actinomycosis, and all the lesions disappeared, accompanied by symptomatic relief “After treatment”. there was no recurrence during the 3 months to 1 year of follow-ups. Conclusion Pharyngeal actinomycosis is related to local chronic disease, and it is mainly confirmed by pathological examination. Comprehensive treatment with antibiotics, atomization, and local cleaning have definite outcomes.