摘要
目的探讨老年喉结核的临床特征,减少老年喉结核患者的误诊误治。方法回顾性分析1999年4月至2009年6月中南大学湘雅医院耳鼻咽喉科经病理确诊的21例50岁以上喉结核患者病例的临床资料。结果男性17例,女性4例,病程1月至半年不等。病变主要累及声带18(85.71%),以肉芽组织形成为主。其中胸片报告13(61.9%)例活动性肺结核,6(28.6%)例报告陈旧性肺结核,2(9.52%)例未见异常。患者均经病理最后确诊。经确诊后均转至结核病院治疗,2例失访,16例治愈,3例仍在随访中。结论老年性喉结核症状与体征多不典型;初诊误诊率较高,胸片对于其诊断具有重要意义,经系统抗痨后,治愈率较高。
【Objective】To explore the clinical characteristic of aged laryngeal tuberculosis,and to reduce misdiagnosis and mistreatment of aged laryngeal tuberculosis.【Methods】The clinical data of 21 cases of laryngeal tuberculosis in the Department of Otorhinolaryngology were reviewed.They were pathologically diagnosed from April 1999 to June 2009 and were all above 50 years old.【Results】Among them,there were 17 males and 4 females,the course of disease was 1 to 6 months.The lesions mainly involved 18 vocal cords（85.71 %）.The main pathological change was granulation tissue.Thirteen（61.9 %） had active pulmonary tuberculosis,6（28.6 %） had obsolete pulmonary tuberculosis,while 2（9.52 %） had normal lung status under chest X-ray examination.Patients were eventually diagnosed pathologically.All the patients received antituberculosis treatments after diagnosis.Two cases could not be followed up,16 cases were cured,3 cases were still followed up.【Conclusion】The symptoms and the signs of laryngeal tuberculosis are untypical,the rate of misdiagnosis is high,the chest X-ray result is significant on the diagnosis of aged laryngeal tuberculosis.The recovery rate is high.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第6期903-905,共3页
China Journal of Modern Medicine
关键词
老年
喉结核
临床特点
aged
laryngeal tuberculosis
clinical characteristic.
