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目的:总结口腔颌面部结核的临床特征和误诊原因。方法:对2005.2～2010.12桂林市第三人民医院和广西壮族自治区南溪山医院收治的经病理确诊的12例口腔颌面部结核病例进行全面分析。结果:本组12例口腔颌面部结核表现为单个淋巴结结核(8例),单个口腔黏膜溃疡(3例),结节增生并溃疡(1例)。其中2例合并活动性肺结核。对5例淋巴结结核仅行手术完整切除,另7例采用手术切除及规范抗结核治疗。结论:口腔颌面部结核的临床表现不典型,全身症状少见,误诊率高,依靠病理学诊断,以手术及规范的抗结核药物治疗为首选。
Objective: To summarize the clinical characteristics and misdiagnosis of oral and maxillofacial tuberculosis. Methods: A total of 12 pathologically confirmed cases of oral and maxillofacial tuberculosis confirmed by pathology in the Third People ’s Hospital of Guilin from January 2005 to December 2010 and from Nanxi Mountain Hospital of Guangxi Zhuang Autonomous Region were analyzed comprehensively. Results: 12 cases of oral and maxillofacial tuberculosis showed single nodal tuberculosis (n = 8), single oral ulcer (n = 3), nodular hyperplasia and ulceration (1 case). Two of them combined with active tuberculosis. Five cases of lymph node tuberculosis only complete surgical resection, and the other seven cases of surgical resection and standardization of anti-TB treatment. Conclusion: The clinical manifestations of oral and maxillofacial tuberculosis are not typical, the systemic symptoms are rare, the rate of misdiagnosis is high, and the diagnosis is based on pathology. Surgical and standard anti-TB drugs are the first choice.