摘要
目的探讨颈淋巴结结核性脓肿的临床特点和误诊原因,提高临床诊断水平。方法回顾性分析2006年1月～2011年1月我科收治的2例颈淋巴结结核性脓肿误诊病例的临床资料。结果误诊的2例颈淋巴结结核性脓肿占我院同期收治的颈淋巴结结核性脓肿的16.67%,均表现为颈部或颌下肿物,例1伴低热、肿物溢脓,例2伴疼痛。2例分别误诊为右颈部炎性肿物和鳃裂囊肿,均行颈部肿物扩大切除术,术后病理检查诊断为颈淋巴结结核性脓肿。结论颈淋巴结结核性脓肿早期诊断较为困难,故应全面提高对结核病的诊断和治疗能力,充分利用多种临床检查手段明确诊断,尽早确定个性化治疗方案。
Objective To analyze the causes of misdiagnosis of tuberculous neck lymphadenitis abscess and to improve the level of clinical diagnosis.Methods 2 cases of tuberculous neck lymphadenitis abscess were analyzed retrospectively,both of whom were treated in our department during January 2006 and January 2011.Results 2 cases（16.67%） were misdiagnosed,characterized by neck or lower jaw mass,exemple one was accompanied with low fever and exemple two was accompanied with pain.They were misdiagnosed as inflammatory mass in the right neck mass complicated by infection and branchial cyst.They were treated by enlarged resection and were identified by histopathology examination： tuberculous lymphadenitis abscess.Conclusion Early diagnosis of tuberculous neck lymphadenitis abscess is difficult.We should improve our diagnosis and therapy level in tuberculosis,make the best use of methods of clinical examination in order to confirm diagnosis and choose proper treatment earlier.
出处
《临床误诊误治》
2011年第11期62-64,共3页
Clinical Misdiagnosis & Mistherapy
关键词
脓肿
结核
淋巴结
颈
误诊
感染
鳃腺肿瘤
Abscess
Tuberculosis
lymph node
Neck
Diagnostic error
Infection
Parotid neoplasms
