喉结核诊疗分析36例

Clinical analysis of 36 patients with laryngeal tuberculosis

目的探讨喉结核的临床特征及诊断要点。方法对36例喉结核患者的病历资料进行回顾性分析。结果本组患者的主要症状为声音嘶哑、喉咽疼痛、干燥异物感等,低热、盗汗、消瘦等表现不明显,首次误诊率高。患者确诊后均进行抗结核治疗,疗效满意。结论与以往喉结核患者临床表现相比,现今本病局部症状明显、全身症状不典型,易导致漏诊、误诊。诊断上主要依靠详细的病史、胸部X片、结核菌素试验、痰涂片及电子喉镜等检查,对于增生型喉结核病理检查意义更大。

Objective To explore the clinical symptoms of laryngeal tuberculosis and key points for the diagnosis.Method Clinical data of 36 cases of laryngeal tuberculosis were reviewed.Results In total 36 patients,the chief symptoms consisted of hoarseness,sore throat,dryness,foreign body sensation.A few were accompanied with such symptoms as low-grade fever or night sweat and malnutrition.The primary misdiagnosis was very common.All patients were administered with anti-TB treatment once the diagnosis was confirmed and the treatment outcomes were satisfactory.Conclusion Compared with similiar patients in the past,the local symptoms of 36 patients were apparent,however,the systemic symptoms were not typical,which could easily lead to misdiagnosis.The diagnosis mainly depends on the history of illness,chest X-ray,PPD examination,sputum smears,and laryngoscopy.Pathological examination is very useful for hyperplastic laryngeal tuberculosis.