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目的:探讨近年来咽喉结核发病的趋势,进一步引起临床重视。方法:对32例咽喉结核患者的临床资料进行回顾性分析。结果:32例患者全身症状均较轻,局部症状多不典型,首诊误诊率高达71.4%;喉结核发病率高于咽结核。所有患者均接受正规抗痨治疗至愈,随访1 a,除3例失访外,未见复发。结论:与以往咽喉结核相比,现今本病患者全身症状较轻,局部表现多不典型;18例可不伴有肺结核;尽早进行组织病理学检查,是确诊咽喉结核的最有效方法。
Objective: To explore the incidence of throat tuberculosis in recent years, further aroused clinical attention. Methods: The clinical data of 32 patients with throat tuberculosis were retrospectively analyzed. Results: All the 32 patients had mild symptoms, atypical local symptoms, and the first misdiagnosis rate was as high as 71.4%. The incidence of laryngeal tuberculosis was higher than that of pharyngeal tuberculosis. All patients received formal anti-tuberculosis treatment to the more, follow-up 1 a, except 3 cases lost, no recurrence. Conclusion: Compared with the previous pharyngolaryngology, the symptoms of this disease are mild and the local manifestations are not typical at present. Eighteen cases may not be associated with pulmonary tuberculosis. Histopathological examination as soon as possible is the most effective way to diagnose the throat tuberculosis.