本文介绍10种喉部肉芽肿病。喉结核(Tuberculosis of the larynx) 本病为最常见的一种喉部肉芽肿病,患者多伴有活动性肺结核,临床表现不一,有耳痛、声哑、发声痛、吞咽痛、以及呼吸道梗阻。本病早期表现为粘膜弥漫性充血、肿胀,局限于声带的喉结核与早期声门癌相似。病变发展后可出现单发或多发性病损。结节的上皮溃疡和继发感染可发展为软骨膜炎或软骨炎。好发于声带后部、杓状软骨、杓间区、以及会厌喉面。诊断局限于喉部的结核性病变比较困难,因其病损难以与其他喉部肉芽肿病鉴别,为了明确诊断,需强调多次、准确地采取活检标本的重要性。组织培养与抗酸涂片也很需要。皮试阳性只表明曾患结核。喉结核的治疗成功有赖于适宜、足量、及时 This article describes 10 types of laryngeal granulomatosis. Tuberculosis of the larynx This disease is the most common type of laryngeal granulomatosis. Patients often have active tuberculosis. Their clinical manifestations are mixed. They include earache, hoarseness, aural pain, sore throat, and respiratory tract. obstruction. The early manifestation of the disease is diffuse mucosal hyperemia, swelling, and laryngeal tuberculosis confined to the vocal cords is similar to early glottic cancer. Single or multiple lesions may develop after lesion development. Epithelial ulcers and secondary infections of the nodule may develop into perichonditis or cartilage inflammation. Occurs in the back of the vocal cords, arytenoid cartilage, intercalary area, and epiglottis throat. Diagnosing tuberculous lesions confined to the larynx is difficult due to its difficulty in distinguishing it from other laryngeal granulomatosis. To confirm the diagnosis, it is important to emphasize the importance of multiple biopsy specimens. Tissue culture and acid-resistant smears are also needed. A positive skin test only indicates that there was tuberculosis. The treatment success of laryngeal tuberculosis depends on appropriate, adequate, timely