结核性中耳乳突炎的临床特征(附2例报告)

The clinical characters of tuberculous otitis media

目的:探讨结核性中耳乳突炎的临床特征。方法:报告2例此种患者的临床资料,其临床特征是:病程短,发展快,耳内分泌物较稀薄;鼓膜可有穿孔(1个或数个),亦可无明显穿孔,耳内有较苍白的肉芽组织;影像学检查可见死骨形成;可有肺结核史或家族史等。结果:两侧经抗痨和手术治疗均痊愈。结论:对本病诊治若及时、正确。

Objective:To sum up the clinical characters of tuberculous otitis media.Method:2 cases of tuberculous otitis media and other reports are reviewed.Result:The onset of this diseace is sudden and rapid with little discharge coming from the ear.Sometimes one or more perforation and granulation tissue can be finded.Necrotizing bone may be seen by radiography.Conclusion:According to the tuberculous history of patients or their families and the clinical features,the diagnosis and the treatment to this disease are not difficult.