基础医学与临床2011，Vol.31Issue(5)：586-590,5.
喉结核的临床特点及鉴别诊断
Clinical manifestation and differential diagnosis of laryngeal tuberculosis
祝小莉 1陈晓巍 1杨华 1樊悦 1吕玮 2高志强1
作者信息
- 1. 中国医学科学院,北京协和医学院,北京协和医院,耳鼻咽喉科,北京,100730
- 2. 中国医学科学院,北京协和医学院,北京协和医院,感染内科,北京,100730
- 折叠
摘要
Abstract
Objective To analyze the clinical patterns of current laryngeal tuberculosis.Methods Clinical data of 10patients with pathologically confirmed laryngeal tuberculosis was reviewed retrospectively.Analyzed 6 Wegener granuloma cases that involved the larynx and 24 supraglottic laryngeal carcinoma cases for differential diagnosis of laryngeal tuberculosis.Results The age of patients of laryngeal tuberculosis ranged from 37 to 74 years.The male-to-female ratio was 1.5 to 1.The most common complain was hoarseness.The epiglottis, arytepiglottic fold, the false vocal cord and the true vocal cord were commonly involved, 8 patients had active pulmonary tuberculosis, and 2 were proven to have normal lung status.All the patients received proper antituberculosis chemotherapy.Conclusion The patterns of laryngeal tuberculosis have changed over the years.It can occur without pulmonary involvements.The characteristics of lesions seems to be less specific.That makes differential diagnosis more difficult.Early and proper treatment is very important for decreasing the complications of laryngeal tuberculosis.关键词
喉/结核/临床表现/鉴别诊断Key words
tuberculosis/ laryngeal/ diagnosis/ differential分类
医药卫生引用本文复制引用
祝小莉,陈晓巍,杨华,樊悦,吕玮,高志强..喉结核的临床特点及鉴别诊断[J].基础医学与临床,2011,31(5):586-590,5.
