结核性中耳乳突炎的误诊原因探讨  

Analysis of disdiagnosis of tuberculosis otitis media and mastoiditis

作　　者：李志勇[1] 刘世喜[1] 邹剑[1] 黄石[1] 

机构地区：[1]四川大学华西医院耳鼻咽喉-头颈外科,成都610041

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第22期1252-1254,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨结核性中耳乳突炎的临床特征并分析其误诊原因。方法:回顾分析9例结核中耳乳突炎的临床资料。结果:9例患者仅1例在术前明确为结核中耳乳突炎,其余8例术前误诊为慢性中耳乳突炎,术后病检才确诊为结核中耳乳突炎。结论:结核性中耳乳突炎临床特征与慢性化脓性中耳乳突炎相似,临床上易混淆。临床医生应重视此病,结合病史、影像学检查、病理检查及其他特殊检查以明确诊断,减少误诊。Objective.. To investigate the disdiagnosed cause of tuberculosis otitis media and mastoiditis. Meth- od： The clinical data of 9 cases with tubercular otitis media and mastoiditis were analyzed respectly. Result： Nine pa- tients, only 1 patient in the preoperative tuberculosis in odds media and mastoiditis, the remaining eight cases pre- operative misdiagnosed as chronic otitis media the pathologic diagnosis of tuberculous otitis media. Conclusion：The clinical features of tubercular otitis media and mastoiditis was similar easily confused with chronic suppurative oti- tis media. Clinicians should pay attention to the disease, history of tuberculosis, imaging studies, and pathology, and other special examination to confirm the diagnosis, reduce misdiagnosed.

关 键 词：结核 中耳炎 误诊 

分 类 号：R736.1[医药卫生—肿瘤]