72例鼻咽结核的临床分析

Clinical ananlysis on 72 cases of nasopharyngeal tuberculosis

目的探讨鼻咽结核的诊断与治疗.方法对72例经活检病理证实的鼻咽结核进行回顾性分析.结果 72例患者中男性31例,女性41例,男女比例为1∶1.32,平均年龄为30.7岁;鼻咽结核以局部症状为特征,颈淋巴结肿大发生率为79.2%(57/72);鼻咽结核在临床上误诊率较高;抗结核治疗9～12个月治愈,随访1～5年,未见复发.结论近年来鼻咽结核有增加的趋势,尤以原发性病例居多.鼻咽镜活检可确诊,规则抗结核治疗可治愈.

Objective To investigate diagnosis and therapy of nasopharyngeal tuberculosis. Methods Seventy -two cases of nasopharyngeal tuberculosis confirmed pathologically were analyzed retrospectively. Results Seventy-two cases of nasopharyngeal tuberculosis were clinicopathologically confirmed, of which the ratio of male to female was 1：1.32（31：41）, the average ages of these cases were 30.7. The local symptoms of these cases were the main clinical feature. The incidence of lymph node swelling in cervix was 79.2 % （57/72）. The diseases were usually misdiagnosed. These cases were cured by anti - tuberculosis therapy for 9 to 12 months.There were no recurrence based the results of 1 - 5 years follow- up. Condusion The incidence of the disease increase recently, especially primary cases in majorities. The disease can be diagnosed by nasopharyngoscope and chnicopathologic examination and cured by standardized anti- tuberculosis therapy.