目的探讨近年来咽喉部结核的发病趋势、临床症状、局部表现、纤维喉镜检查所见、诊断及治疗方式。方法回顾性分析38例咽喉部结核患者的病历资料。结果患者全身症状以消廋、乏力、低热及夜间盗汗为主,局部症状以咽喉痛、声嘶、吞咽痛及吞咽困难为主,纤维喉镜下表现为黏膜水肿,可见肉芽增生及息肉样变;胸部X线检查:19例喉结核、全部咽喉部伴有肺结核。所有患者均经药物治疗,效果满意。结论与以往咽喉部结核相比,现在的患者全身症状轻,局部症状多不典型,少数患者可不伴有肺结核。 Objective To investigate the incidence of throat tuberculosis in recent years, clinical symptoms, local manifestations, fibrolaryngoscopy findings, diagnosis and treatment. Methods Retrospective analysis of 38 cases of throat tuberculosis patients medical records. Results The main symptoms of the patients were diarrhea, fatigue, hypothermia and night sweats. The main symptoms were sore throat, hoarseness, swallowing pain and swallowing difficulty. The fibrolaryngology showed mucosal edema under the condition of fibrolaryngology. Chest X-ray examination: 19 cases of laryngeal tuberculosis, all throat accompanied by tuberculosis. All patients were treated with drugs, with satisfactory results. Conclusion Compared with the previous throat tuberculosis, patients with systemic symptoms are mild, local symptoms are not typical, a small number of patients may not be associated with tuberculosis.