山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (4): 105-110.doi: 10.6040/j.issn.1673-3770.0.2022.530
• • 上一篇
李广金1,2,3,王艳2,3,刘斐斐2,3,宋西成2,3,孙岩2,3
LI Guangjin1,2,3, WANG Yan2,3, LIU Feifei2,3, SONG Xicheng2,3, SUN Yan2,3
摘要: 目的 通过研究原发性鼻咽结核(primary nasopharyngeal tuberculosis,PNT)的临床特点及误诊的原因,为耳鼻喉科医生提供临床借鉴和参考。 方法 回顾性分析PNT误诊1例,并结合相关文献,分析其临床特点及易被误诊的原因。 结果 PNT临床表现与鼻咽部病变的增生程度有关,通常无结核病相关临床表现,不易与慢性鼻咽炎鉴别;病理检查诊断结核不够明确时,需行结核相关检查,并嘱咐患者密切随访;在治疗方面,仍以全身性的抗结核治疗为主。 结论 PNT较罕见,且缺乏典型的临床表现,易被误诊为慢性鼻咽炎。组织病理结合结核相关检查有助于提高诊断率,同时定期复诊也是避免误诊的一个重要因素。
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