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目的探讨喉结核临床表现及误诊原因。方法回顾性分析36例经组织病理确诊喉结核患者的临床资料。结果声音嘶哑、喉痛为喉结核主要症状;喉镜显示病变主要累及声带、室带、环后区;病变形态以肉芽样或结节样增殖性病变为主。经系统抗结核治疗1a,33例治愈,2例失访,1例复发。结论喉结核全身及局部症状不典型,喉镜检查、痰涂片及结核菌素纯蛋白衍化物试验等有助于诊断,确诊依据组织病理检查,规范抗结核药物治疗效果良好。
Objective To investigate the clinical manifestations and causes of misdiagnosis of laryngeal tuberculosis. Methods The clinical data of 36 patients with larynx tuberculosis confirmed by histopathology were retrospectively analyzed. The results of hoarseness, sore throat is the main symptom of laryngeal tuberculosis; laryngoscopy showed lesions mainly involving the vocal cords, ventricular zone, posterior ring area; lesion morphology to granulomatous or nodular proliferative lesions based. The system of anti-TB treatment 1a, 33 cases were cured, 2 cases were lost, 1 case of recurrence. Conclusion The systemic and local symptoms of laryngeal tuberculosis are not typical, laryngoscopy, sputum smear and tuberculin pure protein derivative test are helpful for diagnosis. The diagnosis is based on histopathological examination, and the effect of standard anti-TB drugs is good.