以溃疡为主要表现的咽喉部病变临床诊治分析

Analysis of clinical diagnosis and treatment of laryngopharyngeal lesions mainly characterized by ulceration

目的回顾分析10例以咽喉溃疡病变为主要表现患者的病历资料,为临床医师诊疗该类疾病提供参考。方法对纳入的病例从临床表现、病变部位、溃疡特点、诊疗经过、病理诊断、预后情况进行分析,结合典型病例及文献复习阐述该类疾病的临床特点。结果最后确诊喉结核6例(声门上区1例,声门区4例,声门下区1例),溃疡性咽喉炎2例、淋巴瘤1例、下咽癌1例。所有患者根据最后诊断接受相应治疗。结论对咽喉部溃疡性病变,首先需明确诊断,除单纯溃疡外,应考虑到特异性感染、恶性肿瘤等疾病可能,明确诊断后才能精准施治,得到确切疗效。

Objective To provide reference for clinicians in the diagnosis and treatment of laryngopharyngeal ulcer,this paper retrospectively analyzed the medical records of 10 patients with laryngeal ulcer as the main clinical manifestations.Methods The clinical characteristics of the collected cases were analyzed for the clinical manifestations,lesion sites,ulcer characteristics,diagnosis and treatment,pathological diagnosis and prognosis of the patients.And the clinical characteristics of the diseases based on the typical cases were expounded,and the related literatures were reviewed.Results Finally,6 cases of laryngophthisis(1 case in supraglottic portion,4 cases in glottic region,1 case in infraglottic portion),2 cases of ulcerative pharyngitis,1 case of lymphoma,1 case of hypopharyngeal cancer were diagnosed.All patients received the appropriate treatments according to the final diagnosis.Conclusion It is necessary to make definite diagnosis for different ulcer diseases of larynx and throat.Besides simple ulcer lesions,the other laryngopharyngeal lesions should be considered,including specific infection,malignant tumor and other diseases.Only after the diagnosis of pharyngeal ulcer disease is clear,the exact curative effect can be achieved only by precise treatment.