以持续性耳闷为首发症状的原发性鼻咽结核1例并文献复习  

Primary nasopharyngeal tuberculosis presenting as durative aural fullness:one case report and literature review

作　　者：吴瑕[1] 孙宇[1] 孔维佳[1] 段茂利 王彦君[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022 [2]瑞典卡罗林斯卡大学附属医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第11期824-826,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨原发性鼻咽结核的临床特点及诊疗方法。方法:报道在我院就诊的1例以持续性耳闷胀感为首发症状的原发性鼻咽结核病例,并对相关文献进行回顾。结果:患者经鼻咽部活检、组织病理学检查,提示结核性肉芽肿伴干酪样坏死,抗酸检测阳性。经抗结核治疗后,患者症状消失,鼻咽部形态基本正常。结论:对于伴有耳部症状的鼻咽部新生物的患者,原发性鼻咽结核应作为鉴别诊断之一,须通过鼻咽部活检组织病理学检测加以明确诊断,以免延误病情。Objective：To study the clinical features, diagnosis and treatments of primary nasopharyngeal tuberculosis. Method..A case report was presented, and meanwhile etiopathogenesis and differential diagnosis were also reviewed. Result： A biopsy was taken and the histopathological examination showed tuberculosis granuloma with caseous necrosis. After anti-tuberculosis therapy, the symptoms disappeared. Conclusion： Not only ototogic disorders but also nasopharyngeal diseases need to be considered when aural fullness exists. More importantly, primary nasopharyngeal tuberculosis should be taken as one of the differential diagnosis.

关 键 词：鼻咽结核 耳闷胀感 中耳炎 鼓膜穿孔 

分 类 号：R761.21[医药卫生—耳鼻咽喉科]