116例喉结核患者临床特征分析

Clinical analysis of laryngeal tuberculosis: report of 116 cases

王锐;王燕;许珍;代洪;高玲

1:罗田县万密斋医院耳鼻咽喉科

2:武汉大学人民医院耳鼻咽喉头颈外科中心

摘要
目的 探讨喉结核的临床特征。方法 回顾性分析2018年1月-2022年12月确诊的116例喉结核患者的临床特征。结果 116例喉结核患者中,声嘶98例,咽喉痛69例,咽喉部异物感57例,咳嗽12例,体重减轻10例,发热8例。胸部CT示伴肺结核102例(活动性12例,陈旧性90例),无肺部病变者仅14例。电子喉镜检查示病变累及声带最常见(84.5%),其次为室带、会厌、杓间区及杓区;增殖型病变(72.5%)多于溃疡样病变(19.3%),非特异性渗出性炎性病变仅占8.2%。全部患者均行系统规范抗结核治疗,除2例失访外,其余114例均治愈,随访1~2年无复发。结论 本组喉结核患者临床表现不典型,大部分继发于肺结核,但肺结核相关症状少见;声带病变以增殖型为主,系统抗结核治疗疗效好。
关键词
喉结核;临床特征
基金项目(Foundation):
作者
王锐;王燕;许珍;代洪;高玲
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王锐王燕许珍代洪高玲