摘要
目的分析喉结核的临床特征,提高喉结核的临床诊断率。方法回顾性分析13例喉结核患者的临床资料。结果喉结核的主要临床症状是声嘶、咽喉疼痛、咳嗽,低热、消瘦、乏力等全身中毒症状少见。本组患者都有声嘶,咽部疼痛9例(69%),咳嗽6例(46%),低热、消瘦及全身乏力1例(8%)。喉镜下表现为3种类型:浸润水肿型4例、增生肥厚型6例,类慢性喉炎型3例。肺部CT:肺部结核感染11例,无肺结核病灶2例。喉部活检:除2例病变局限在声带的患者未行喉部活检外,其他11例患者进行喉部活检,10例报告为喉结核,1例结果阴性。PPD试验:除1例未做外,其他12例为阳性结果。结论喉结核的临床症状无特异性,喉镜下病变的表现有一定的特殊性;早期诊断主要依靠喉镜检查提出,确诊需结合活检病理结果、肺部CT及PPD试验。
Objective To explore the clinical manifestations of the laryngeal tuberculosis （ LTB ） to improve the diag- nosis of LTB. Method The clinical dates of 13 LTB cases were reviewed. Results Hoarseness, sore throat and cough were the most common symptoms in LTB. Fever, weight loss, fatigue and other general symptoms were rare. In this cohort, there were 13 hoarseness, 9 sore throat （69%）, 6 cough （46%） and 1 fever, weight loss and fatigue （8%）. Three types were identified under the laryngoscope, including infiltrative edema type （four cases）, prolifera- tive hyperplasia type （six cases）, and chronic laryngitis-like type （three cases）. Lung CT demonstrated 11 pulmona- ry tuberculosis infections. Throat biopsy was performed in eleven cases except of two whose lesions were confined to the vocal cords. Among these cases, ten were confirmed as LTB but one. PPD test showed twelve positive cases. Conclusion LTB, though with non-specific clinical manifestations, shows some kinds of specific characteristics un- der the laryngoscopy. Early detection relies mainly on laryngoscopy, however, diagnosis should be confirmed with the combination of biopsy, lung CT and the PPD test.
出处
《山东大学耳鼻喉眼学报》
CAS
2012年第5期59-63,共5页
Journal of Otolaryngology and Ophthalmology of Shandong University
基金
国家自然科学基金(81070795)
关键词
喉
喉镜检查
结核
肺
病理活检
Tuberculosis, laryngeal
Laryngoscope
Tuberculosis, pulmonary
Biopsy
