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目的分析耳鼻咽喉及颈淋巴结结核的临床特征,以进一步提高诊疗水平。方法回顾性分析32例耳鼻咽喉及颈淋巴结结核患者的临床资料,总结其临床特征。结果所有病例临床所见的全身症状均较轻,局部症状多不典型,以致误诊率较高。喉结核发病率最高,喉结核症状以声嘶为主,咽结核和咽喉结核以咽痛或吞咽疼痛为主。原发性中耳结核易误诊。颈部肿块应常规行颈部肿块细针穿刺活检,必要时行颈部淋巴结清扫术活检。结论深入掌握其临床症状的变化特点有助于提高其诊断准确率。尽早进行组织病理学检查,是确诊耳鼻咽喉及颈淋巴结结核的最有效方法。
Objective To analyze the clinical features of otolaryngology and cervical lymph node tuberculosis in order to further improve the diagnosis and treatment. Methods The clinical data of 32 patients with otolaryngology and cervical lymph node tuberculosis were retrospectively analyzed. The clinical features were summarized. Results The clinical symptoms of all cases were mild and the local symptoms were not typical, resulting in a higher misdiagnosis rate. The highest incidence of throat tuberculosis, throat tuberculosis symptoms mainly hoarseness, pharyngeal tuberculosis and pharyngeal tuberculosis with sore throat or swallowing pain. Primary middle ear tuberculosis is misdiagnosed. Neck lumps should be routinely performed fine needle aspiration biopsy of the neck mass, cervical lymph node dissection biopsy if necessary. Conclusion It is helpful to understand the changing features of clinical symptoms to improve the diagnostic accuracy. Histopathological examination as soon as possible, is the most effective method of diagnosis of otolaryngology and cervical lymph node tuberculosis.