摘要
目的探讨现今喉结核的临床表现及喉内镜下的病变特点。方法回顾性分析1994年以来经病理确诊的36例喉结核患者的临床资料。结果患者年龄19-78岁，中位年龄39，5岁；声嘶为主要症状（83．3％）。纤维喉镜下见病变多累及声带、室带，病变形态以肉芽样或结节样增殖性病变为主；动态喉镜下见病变声带黏膜波及振动消失或减弱；24例喉部多部位病灶者中79，2％（19／24）并发活动性肺结核，12例喉部单一病灶者中75．0％（9／12）肺部正常。全部患者均行系统抗结核治疗，除失访10例外，其余26例均治愈。结论当今喉结核的局部症状不典型，全身症状不明显；可以发生于无肺结核者，其病变可累及喉部多处，以声带、室带多见。
Objective To evaluate the clinical manifestations of laryngeal tuberculosis and its laryngoscopic characteristics. Method Clinical analysis of 36 laryngeal tuberculosis cases confirmed pathologically was carried out retrospectively. Results The patients＇ ages ranged from 19 to 78 years old （ median 39.5 years old）. The male to female ratio was 1.8 to 1. The most frequent chief complaint was hoarseness（ 83. 3% ）. The true vocal cord and the false vocal cord were usually found involved by fibrolaryngoscope observations. The lesions appearances were mainly the proliferation such as nodules or granules. The laryngostroboscopy demonstrated that the wave of the mucosa and vibration of the involved vocal cords were markedly reduced or disappeared. Among 24 patients with multiple lesions in the larynx, 19（79.2% ）had active pulmonary tuberculosis,while 9（75.0% ）had normal lung status among 12 patients with single lesions in the throat. All the patients received a full course of antituberculosis treatment. The results of the antituberculous medication was satisfactory in all 26 cases patients who can be followed up, while 10 cases were lost for the follow-up. Condusions The local clinical manifestations of laryngeal tuberculosis is nouspecific, while the whole manifestation is not apparent. The lesions commonly involve the true vocal cord and the false vocal cord . It can even occur without pulmonary tuberculosis.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2006年第4期247-250,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
结核
喉
喉镜检查
治疗
Tuberculosis,laryngeal
Laryngoscopy
Therapy
作者简介
通讯作者：周涛，Email：jasp@public．wh．hh．cn
