94例口腔粘膜结核分析

A clinical study of 94 patients with oral mucosal tuberculosis

作者对经病理确诊的94例口腔粘膜结核进行了分析;结果表明:该病变男性明显多于女性(12.5:1),60%发生在50岁以上,仅10.6%的患者有肺结核史。病程半年内占87%.91%以上呈现粘膜溃疡,其部位以舌多见,其次为颊、腭、唇、牙龈.43%为多个溃疡损害。临床诊断与病理诊断符合者占38%,舌、牙龈、颊部结核极易误诊为癌。本文着重对误诊的原因进行了分析.

94 cases of oral mucosal tuberculosis confirmed by biopsy were studied. The result showed that there was predominance of male over female (about 5:1 ). 60% of all ocurred in the age of over 50 years, 10.6% patients had a history of pulmonary tuberculosis. Clinical manifestations of 91% in all were oral mucosal ulcer. The most frequent seat of an oral tuberculous ulceration was tonque, followed by the cheek, palate, labial mucosa.and gingiva. 40% patients had two or more ulccerative lesions. Only 38% patients were diagnosed as oral mucosal tuberculosis by clinical doctor. It was easy to misdiagnose as carinoma when the ulceration located on tonque, gingiva and cheek. Reasons of misdiagnoisis were discussed in detail.