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目的提高对喉结核的认识,减少误诊。方法分析16例喉结核误诊病例的临床表现变化及其误诊的原因。结果喉结核的发病年龄呈高龄化,感染形式呈多样化,临床症状不典型,结核中毒症状不明显;病变部位以声带最常见,其次是室带和会厌,均明显多于后联合及杓会厌皱襞等喉腔后部位;局部表现以增生性病变为多见,呈现肿瘤样结节性肿块或肉芽增生。结论熟悉喉结核的变迁,仔细全面的检查,及时、有效的取材活检是避免误诊的最有效手段。
Objective To raise awareness of laryngeal tuberculosis and reduce misdiagnosis. Methods The clinical manifestations and misdiagnosis of 16 cases of misdiagnosis of laryngeal tuberculosis were analyzed. Results The age of onset of laryngeal tuberculosis was aging, the forms of infection were diversified, the clinical symptoms were not typical, and the symptoms of tuberculosis were not obvious. The vocal cords were the most common in lesion, followed by the ventricular band and epiglottis, Folds and other throat after the site; local manifestations to proliferative lesions are more common, showing tumor-like nodular mass or granulation hyperplasia. Conclusion Familiar with the changes of laryngeal tuberculosis, careful and comprehensive examination, timely and effective sampling biopsy is the most effective way to avoid misdiagnosis.