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目的 :提高临床上对鼻咽结核的认识。方法 :对 12例鼻咽结核进行回顾性分析 ,总结其临床特征。仅 1例有肺部结核史 (8.3% ) ,9例以颈部包块为首发临床表现 (83.3% ) ,9例初诊时误诊为鼻咽部恶性肿瘤(75 .0 % )。结果 :全部病例经正规抗结核药物治疗后痊愈。经 6个月～ 2年随访无复发。结论 :鼻咽结核更常见的可能是一种单独发生的上呼吸道结核病变 ,并可引起颈淋巴结肿大。颈淋巴结肿大时要注意排除鼻咽结核并与鼻咽部恶性肿瘤相鉴别。抗结核药治疗是鼻咽结核的有效治疗方法
Objective: To improve the clinical awareness of nasopharyngeal tuberculosis. Methods: 12 cases of nasopharyngeal tuberculosis were retrospectively analyzed, and their clinical features were summarized. Only one patient had a history of pulmonary tuberculosis (8.3%), 9 patients had a first clinical manifestation (83.3%) with a mass of the neck, and 9 were misdiagnosed as nasopharyngeal malignancies (75.0%) during the first visit. Results: All patients recovered after regular anti-TB drug treatment. After 6 months to 2 years of follow-up no recurrence. CONCLUSIONS: Nasopharyngeal tuberculosis is more commonly found as a single, upper respiratory TB disease and causes cervical lymph node enlargement. Cervical lymph nodes should pay attention to rule out nasopharyngeal tuberculosis and nasopharyngeal malignant tumor phase identification. Anti-TB drug treatment is an effective treatment of nasopharyngeal tuberculosis