摘要
目的 :分析喉结核临床误诊的原因及讨论诊断依据。方法 :回顾总结 1994至 1999年喉结核 13例的临床资料。结果 :13例喉结核误诊 11例 ,误诊率为 84 6% ,误诊的原因主要是喉结核临床表现不典型及医生对喉结核缺乏全面细致的认识。结论 :提高医师对本病的认识 ,重视喉结核的临床变化 ,进行全面检查 ,对可疑喉结核的病例应尽早进行活组织病理检查 ,以提高本病的诊断水平 。
Objective:To evaluate the reasons of misdiagnosis on laryngeal tuberculosis.Method:The clinical information of 13 cases with laryngeal tuberculosis were retrospective analysed.Results:Among them,11 cases were misdiagnosed.The rate of misdiagnosis was 84.6%.The main reason was that the clinic showing of laryngeal tuberculosis was not typical and the doctors were scant of knowledge about laryngeal tuberculosis.Conclusion:The authors should lay special emphasis on clinical features and make thorough examination.At the same time,doctors should do pathological biopsy as early as possible to those suspicious cases.So the rate of misdiagnosis or delayed diagnosis may be reduced.
关键词
喉结核
误诊
诊断
Tuberculosis,laryngeal
Misdiagnosis
