山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (1): 48-49.

• 论文 • 上一篇    下一篇

喉结核诊疗分析36例

林庆强,陈缪安,蔡志良,温晗光   

  1. 福建医科大学附属闽东医院耳鼻咽喉科,福建  福安  355000
  • 收稿日期:2011-06-09 出版日期:2012-02-16 发布日期:2012-02-16
  • 作者简介:林庆强,主治医师。Email: coollight@163.com

Clinical analysis of 36 patients with laryngeal tuberculosis

LIN Qing-qiang, CHEN Miao-an, CAI Zhi-liang, WEN Han-guang   

  1. department, Mingdong Hospital affiliated to Fujian Medical University, Fuan 355000, Fujian, China
  • Received:2011-06-09 Online:2012-02-16 Published:2012-02-16

摘要:

目的    探讨喉结核的临床特征及诊断要点。方法   对36例喉结核患者的病历资料进行回顾性分析。结果   本组患者的主要症状为声音嘶哑、喉咽疼痛、干燥异物感等,低热、盗汗、消瘦等表现不明显,首次误诊率高。患者确诊后均进行抗结核治疗,疗效满意。结论   与以往喉结核患者临床表现相比,现今本病局部症状明显、全身症状不典型,易导致漏诊、误诊。诊断上主要依靠详细的病史、胸部X片、结核菌素试验、痰涂片及电子喉镜等检查,对于增生型喉结核病理检查意义更大。

关键词: 喉结核;声音嘶哑;喉咽疼痛

Abstract:

Objective   To explore the clinical symptoms of laryngeal tuberculosis and key points for the diagnosis. Method   Clinical data of 36 cases of laryngeal tuberculosis were reviewed. Result    In the total 36 patients, the chief symptoms consisted of hoarseness, sore throat, dryness, foreign body sensation, etc. Few accompanied with such symptoms as low-grade fever or night sweatand malnutrition. The primary misdiagnosis was very common. All patients were administered with anti-TB treatment once the diagnosis was confiremed and the treatment outcomes were satisfying. Conclusion   Compared with the similiar patients in the past, the local symptoms of 36 patients were apparent, however, the systemic symptoms were not typical, which could easily lead to the misdiagnosis. The diagnosis depends mainly on the history of illness, chest X-ray,PPD examination,sputum smears, laryngoscopy, etc. Pathological examination is much useful for hyperplastic laryngeal tuberculosis.

Key words: Laryngeal tuberculosis; Hoarseness; Sore throat

中图分类号: 

  • R529.8
[1] 吴光灿,顾能荣. 喉结核误诊3例[J]. 山东大学耳鼻喉眼学报, 2010, 24(3): 61-62.
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