喉结核诊断(附38例临床分析)

目的 总结喉结核诊断经验。方法 回顾性分析38例喉结核诊断的临床资料。结果 喉结核以声嘶及言语困难为主要症状,喉部病变好发部位主要为声带、室带,87％继发于肺结核,临床误诊率63％。有17例经诊断性治疗而确诊喉结核。结论喉结核症状小明显,喉部损害表浅或局限,临床医师应提高认识,对疑似喉结核者,需行X线胸片、喉部病理检查或诊断性治疗。

Diagnosis of laryngeal tuberculosis (with the analysis of 38 cases)

Objective To summarize the experience in diagnosing of laryngeal tuberculosis. Methods We reviewed and analyzed 38 cases with laryngeal tuberculosis retrospectively. Results The main symptoms of laryngeal tuberculosis were hoarseness and dysphonia. The true and false vocal cord were commonly involved. About 87 percent of 38 patients with the disease suffered from lung tuberculosis simultaneously. Clinical misdiagnosis rate of all the cases was as high as 63 percent. Seventeen cases' diagnosis were made by diagnostic treatment. Conclusion There are no characteristic clinical presentations in laryngeal tuberculosis. Clinician should pay attention to surfacial laryngeal lesions cases suspected with laryngeal tuberculosis should do chest x-ray or pathological biopsy. Diagnostic treatment may be advocated.