颈部结核53例临床分析

Clinical Analysis of 53 Cases with Neck Tuberculosis

目的探讨颈部结核的临床特征、诊断及治疗,以减少其误诊、误治。方法报告53例颈部结核患者的临床资料,结合文献复习,对颈部结核的临床流行病学特点、诊断、治疗等进行分析。结果53例患者经抗结核治疗,其中9例手术治疗,随访6个月-2年无复发。结论耳鼻咽喉科医生必须充分了解颈部结核的临床体征,尽早进行全面检查,减少误诊和漏诊,早期确诊和正规抗结核治疗有利预后。

Objective To discuss the clinical features of neck tuberculosis, the diagnosis and treatment so as to avoid misdiagnosis and mistreatment. Methods The clinical data of 53 cases with neck tuberculosis were reported ; combined with literature review, the clinical and epidemiological features of neck tuberculosis, the diagnosis and treatment were discussed. Results All the 53 cases with neck tuberculosis recovered after anti - tuberculosis treatment, including 9 cases who received operations in addition ; follow - up lasted for 6 months to 24 months and no recurrence was found. Conclusions i Doctors of otolaryrgolog should have a good understanding of the clinical features of neck tuberculosis and give patients detailed examination as early as possible so as to avoid misdiagnosis and mistreatment; early diagnosis and correct treatment can sitmificantly improve prognosis.