鼻咽结核15例临床分析  

Nasopharyngeal Tuberculosis: An Analytical Study and Report on 15 Cases

作　　者：蔡永明[1] 张文渊[1] 周佳慧[2] 

机构地区：[1]广东省深圳市沙井人民医院耳鼻喉科,广东深圳518104 [2]广东省深圳市宝安区慢性病防治院,广东深圳518101

出　　处：《河北医学》2005年第3期226-228,共3页Hebei Medicine

摘　　要：目的:为提高鼻咽结核的临床诊断率。方法:对15例鼻咽结核进行回顾性分析,总结其临床特征,仅3例有肺结核史(20.0%),8例以颈部包块为首发临床表现(53.3%),11例初发时误诊为鼻咽部恶性肿瘤(73.3%)。结果:全部病例经正规抗结核药物治疗后痊愈,经 6 个月至 2 年随诊无复发。结论:鼻咽结核与鼻咽癌极易误诊,颈淋巴结肿大时要注意排除鼻咽结核并于鼻咽部恶性肿瘤相鉴别;鼻咽结核行全身抗痨治疗,同时应用5%链霉素局部灌洗,可显著提高疗效,缩短病程。Objective:To improve diagnostic rate of nasopharyngeal tuberculosis.Method:15 cases of nasopharyngeal tuberculosis were retrospectively analyzed and the clinical features were studied . Only three cases had known the previous history of pulmonary tuberculosis (20.0%). Cervically lymphadenopathy was the most common presenting symptom in our series (8 cases 53.3%) . 11 cases were diagnosed as nasopharyngeal malignant tumors by mistake at the beginning (73.3%) . Result: Anti-tuberculous medical treatment was successfuful in all patients after follow up from 6 months to 2 years. Conclusion: It was made a mistake in diagnosis easily between the nasopharyngeal tuberculosis and the nasopharyngeal malignant tuberculous . When cervical lymphadenopathy is found , nasopharyngeal malignant tuberculous is the most important disease in differential diagnosis for their similar clinical features . Systematic antituberculosis therapy combined with nasopharyngeal irrigation (5% streptomycin) can improve the efficacy of treatment.

关 键 词：结核 鼻咽疾病 颈淋巴结肿大 

分 类 号：R529.8[医药卫生—内科学]