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目的:探讨Wegener肉芽肿(WG)在耳鼻咽喉科的早期临床表现及疾病的发展,以期提高对该病的认识,做到早期诊断,减少误诊,提高患者生活质量。方法:对首诊于耳鼻咽喉科的32例WG患者的临床资料进行回顾性分析,了解诊治过程中的误诊情况。结果:32例中曾发生耳鼻咽喉误诊的患者有27例,误诊率达84%。最常见误诊疾病为耳鼻咽喉炎症。结论:多数WG患者首诊于耳鼻咽喉科,对以耳鼻咽喉炎症就诊的患者,应详细询问病史,重视对肺部及肾脏情况的检查,对异常结果进行全面分析是减少误诊的关键环节。
Objective: To investigate the early clinical manifestation and development of Wegener’s granulomatosis (WG) in otolaryngology, in order to improve the understanding of the disease, make early diagnosis, reduce the misdiagnosis and improve the quality of life of patients. Methods: The clinical data of 32 patients with WG who were first diagnosed as otolaryngology were retrospectively analyzed to understand the misdiagnosis in diagnosis and treatment. Results: There were 27 cases of misdiagnosis of otolaryngology in 32 cases, the rate of misdiagnosis was 84%. The most common misdiagnosis is otolaryngology. CONCLUSIONS: Most patients with WG are first diagnosed with otolaryngology. Patients with otolaryngological inflammation should be asked about their medical history in detail. Emphasis should be placed on the examination of the lungs and kidneys. A thorough analysis of the abnormal results is the key to reduce misdiagnosis.