声带结核临床误诊分析  

Tuberculosis of vocal fold:clinical features and misdiagnosis

作　　者：李长青[1] 王萱[1] 张景华[1] 董淑萍[1] 王清[2] 

机构地区：[1]北京中医药大学附属北京老年医院耳鼻咽喉科,北京100095 [2]北京中医药大学附属北京老年医院病理科,北京100095

出　　处：《中国耳鼻咽喉头颈外科》2013年第5期266-268,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：北京市"十百千"卫生人才经费资助(85517460);北京市优秀人才资助(2012D003034000007)联合资助

摘　　要：目的分析声带结核的临床特征及误诊原因。方法回顾性分析12例以声嘶为首发症状声带结核患者的临床资料。结果 12例患者中从第1次就诊到最终确诊平均时间为62 d,首诊怀疑结核仅为2例,误诊率高达83.3%(10/12)。结论声带结核的结核中毒症状不典型,早期极易与喉炎、喉癌等疾病混淆,凡常规治疗2周无效、以声嘶为首发症状的患者应警惕声带结核的可能。OBJECTIVE To investigate the clinical features and misdiagnosis of vocal fold tuberculosis（TB）. METHODS Clinical data of 12 patients with vocal fold tuberculosis who presented with hoarseness were analyzed retrospectively. RESULTS The mean time of diagnosis for all patients was 62 days, only 2 patients were suspected for TB in their first present. The misdiagnosis rate was 83.3% （10/12） . CONCLUSION The typical toxic symptoms of tuberculosis （TB） of vocat fold seldom appeared, it was easy to confuse the tuberculosis （TB） of vocal fold with laryngitis and laryngeal carcinoma at the early stage. It was very important to suspect tuberculosis （TB） if the hoarseness of the patients didn＇t respond to routine treatment for 2 weeks.

关 键 词：声带 结核 误诊 

分 类 号：R529.8[医药卫生—内科学]