口腔颌面部结核132例临床分析

Clinical characteristics of tuberculosis in oral and maxillofacial region

目的分析15腔颌面部结核的临床特点、诊断及治疗方法。方法回顾性分析132例口腔颌面部结核病患者的临床资料。结果132例患者中，男女之比为1：1．69，平均年龄为38．7岁，15—40岁为高发年龄组，占59．85％；口腔颌面部各部位均可累及，其中侵犯淋巴结占82．58％。107例手术加药物治疗，25例单纯药物治疗，随访2例复发。结论口腔颌面部结核局部症状不典型，易造成误诊；单灶性淋巴结结核、口腔黏膜结核、集中于一个区域的多灶性淋巴结核和涎腺结核患者可行手术治疗，但对于多区域多灶性淋巴结结核、骨结核等明确诊断后给以药物治疗为主。

Objective To study the clinical characteristics of tuberculosis in oral and maxillofacial region, and to provide reference in early diagnosis and early treatment. Methods The clinical data of 132 patients were analyzed retrospectively. Results In all cases, male to female ratio of 1 ： 1.69, the average age of 38.7 years, the group of 15 -40year-old had higher incidence. All parts of oral and maxillofacial region could be involved. In all 132 cases, 107 cases were treated by surgery and drugs ,25 cases by drugs only. Conclusion The local sign of tuberculosis in oral and maxillofacial region was atypical, so it was likely to misdiagnosis. Definitive diagnosis relied on pathological ex- amination. Operations played an important role in the cases of unifocal lymph nodes tuberculosis, oral mucosal tuber- culosis ,multifocal concentrated lymph nodes tuberculosis and salivary tuberculosis ,while the therapy of multifocal sporadic lymph nodes tuberculosis and osseous tuberculosis should be relied on the medicine.