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中国防痨杂志 ›› 2005, Vol. 27 ›› Issue (4): 241-243.

• 论著 • 上一篇    下一篇

72例鼻咽结核的临床分析

周琳1;云径平2;张广莉1;陈树忠1;骆燕鸣1;   

  1. 1.广州市胸科医院 广州 510095;2.中山大学附属肿瘤医院 广州 510060;
  • 出版日期:2005-04-10 发布日期:2005-11-03

Clinical ananlysis on 72 cases of nasopharyngeal tuberculosis

Zhou Lin1, Yun Jingping, Zhang Guangli, et al.   

  1. 1.Guangzhou Chest hospital, Guangzhou 510095,Chin
  • Online:2005-04-10 Published:2005-11-03

摘要: 目的 探讨鼻咽结核的诊断与治疗。方法 对72例经活检病理证实的鼻咽结核进行回顾性分析。结果 72例患者中男性31例,女性41例,男女比例为1∶1.32,平均年龄为30.7岁;鼻咽结核以局部症状为特征,颈淋巴结肿大发生率为79.2%(57/72);鼻咽结核在临床上误诊率较高;抗结核治疗9~12个月治愈,随访1~5年,未见复发。结论 近年来鼻咽结核有增加的趋势,尤以原发性病例居多。鼻咽镜活检可确诊,规则抗结核治疗可治愈。

关键词: 结核,鼻咽, 临床研究

Abstract: Objective To investigate diagnosis and therapy of nasopharyngeal tuberculosis. MethodsSeventy-two cases of nasopharyngeal tuberculosis confirmed pathologically were analyzed retrospectively. Results Seventy-two cases of nasopharyngeal tuberculosis were clinicopathologically confirmed, of which the ratio of male to female was 1:1.32(3141), the average ages of these cases were 30.7. The local symptoms of these cases were the main clinical feature. The incidence of lymph node swelling in cervix was 79.2%(57/72). The diseases were usually misdiagnosed. These cases were cured by anti-tuberculosis therapy for 9 to 12 months. There were no recurrence based the Results of 15 years follow-up. ConclusionThe incidence of the disease increase recently, especially primary cases in majorities. The disease can be diagnosed by nasopharyngoscope and clinicopathologic examination and cured by standardized anti-tuberculosis therapy.

Key words: Nasopharyx tuberculosis, Clinical studies