鼻咽结核12例临床分析

目的 :提高临床上对鼻咽结核的认识。方法 :对 12例鼻咽结核进行回顾性分析 ,总结其临床特征。仅 1例有肺部结核史 (8.3% ) ,9例以颈部包块为首发临床表现 (83.3% ) ,9例初诊时误诊为鼻咽部恶性肿瘤(75 .0 % )。结果 :全部病例经正规抗结核药物治疗后痊愈。经 6个月～ 2年随访无复发。结论 :鼻咽结核更常见的可能是一种单独发生的上呼吸道结核病变 ,并可引起颈淋巴结肿大。颈淋巴结肿大时要注意排除鼻咽结核并与鼻咽部恶性肿瘤相鉴别。抗结核药治疗是鼻咽结核的有效治疗方法

Nasopharyngeal tuberculosis: An analytical study and report on 12 cases

Objective:To understand the nasopharyngeal tuberculosis better.Method: 12 cases of nasopharyngeal tuberculosis collected from 1993 to 2000 were retrospectively analyzed and the clinical features were studied.Result: Only one case had known the previous history of pulmonary tuberculosis( 8.33 %). Cervical lymphadenopathy was the most common presenting symptom in our series (9 cases, 75%). 9 cases were diagnosed as nasopharyngeal malignant tumors by mistake at the beginning (75%), Anti tuberculous medical treatment was successful in all patients after follow up from 6 months to 2 years.Conclusion: Nasopharyngeal tuberculosis may occur more frequently as part of an isolated upper respiratory tract infection than as secondary to pulmonary infection. It could get rise to cervical lymphadenopathy and should be taken into account when cervical lymphadenopathy is found. Nasopharyngeal malignant tumour is the most important disease in differential diagnosis for their similar clinical features. Antituberculous chemotherapy is usually effective.