咽喉结核34例临床分析

目的:提高临床医生对咽喉结核的认识。方法:回顾性总结我科1995年1月-2001年7月收治的34例咽喉结核患者的临床资料。结果:在病理确诊前仅9例怀疑为结核,其余病例分别被误诊为咽喉部非特异性炎症、恶性肿瘤等。结论:耳鼻咽喉科医生必须充分了解今日咽喉结核的临床特征。对可疑患者应尽早进行病理检查以明确诊断,减少误诊和漏诊。早期确诊和正规抗结核治疗有利于预后。

Clinical analysis of 34 patients with laryngopharyngeal tuberculosis

Objective: To explore the experience of diagnosis and treatment for laryngopharyngeal tuberculosis. Method: Thirty-four patients with laryngopharyngeal tuberculosis were diagnosed and treated from January 1995 to July 2001. Results:There were 20 males and 14 females,ranging in age from 21 to 70 years old. The clinical feature of these patients was pharynx and larynx pain,cough, hoarse,low fever,night sweat and weary. Among 34 cases,9 cases were diagnosed tuberculosis before biopsy examination,25 cases has misdiagnosed chronic pharyngitis,laryngitis,laryngeal cancer and cervical lymph node metastasis of nasopharyngeal carcinoma. In 34 cases, 30 has pulmonary tuberculosis. The final diagnosis depended on pathological examination. All patients treated by drugs of anti-tuberculosis over one year. Conclusion:The main cause of misdiagnosis of laryngopharyngeal tuberculosis is unrecognized for the displace feature. Early biopsy examination could avoide misdiagnosis.