72例咽喉结核临床分析

Clinical analysis on 72 cases with pharyngolaryngeal tuberculosis

目的分析咽喉结核的临床特征,以进一步提高诊疗水平。方法回顾性分析72例经病理确诊的咽喉结核患者临床资料,总结诊疗经验。结果所有病例临床所见的全身症状均较轻,局部症状多不典型,以致误诊率较高。咽结核发病率高于喉结核,尤以鼻咽结核较多见。所有患者均接受系统抗结核药物治疗而痊愈。结论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 improve the diagnostic and therapeutic efficiency in clinical practice for pharyngolaryngeal tuberculosis through an analysis on the clinical features carried out in a group of patients with this disease. Methods A retrospective study was made among 72 cases with pharyngolaryngeal tuberculosis and treated in our Hospital to carefully analyze their clinical data in order to sum up clinical experience with such a lesion. Results All these cases showed mild general symptoms and atypical local signs. Therefore,misdiagnosis was very commonly made for them in the previous diagnostic and therapeutic course. In this group of patients, the occurring rate of pharyngeal tuberculosis was higher than that of laryngeal one, especially higher for nasopharyngeal tuberculosis. Their lesion was all cured by systematic chemical therapy against tuberculosis. Conclusion Pathohistological assaying made as soon as possible is the most efficient measure for the diagnosis of pharyngolaryngeal tuberculosis nowdays.