喉结核25例临床分析

Clinical analysis of 25 patients with laryngeal tuberculosis

目的探讨喉结核的临床特点。方法回顾性分析1998年1月-2007年12月间25例喉结核患者的临床资料。结果患者年龄33岁～63岁,平均年龄42.3岁,喉结核以声嘶为主要症状,占84%,全身症状少见。25例喉结核误诊13例,误诊率为52%,误诊的原因主要是喉结核临床表现不典型及医生对喉结核缺乏全面细致的认识。全部病例经正规抗结核药物治疗后痊愈。结论当今喉结核的临床表现不典型,基层医院必须充分了解今日喉结核的临床特征。对可疑患者应尽早进行病理检查以明确诊断,减少误诊。

Objective To study the clinical feature of laryngeal tuberculosis.Methods The clinical data of 25 Patients with laryngeal tuberculosis from Jan 1998 to Dec 2007 in our hospital were retrospectively analyzed. Results The age of the patients ranged from 33 to 66 years,with a mean age of 42.3 years. Dysphonia was the most frequent complain（t80%）,and systemic symptoms were relatively rare. The incidence of misdiagnosis was 52%（12/25）.The main reason was that the clinic showing of laryngeal tuberculosis was not typical and the doctors were scant of knowledge about laryngeal tuberculosis. All the patients received a full course of anti-tuberculosis treatment. The results of the anti-tuberculosis medication were satisfactory in all 25 cases with the follow-up period of at least one year. Conclusion There are no typical clinical presentations in laryngeal tuberculosis currently. Doctors in the primary hospitals should fully understand the clinical features. Pathological biopsy should be done as early as possible to those suspicious cases, to reduce misdiagnosis.