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[头颈部结核病变:48例回顾性分析]

[Lesions of tuberculosis in the head and neck region: a retrospective analysis of 48 cases].

作者信息

Vayisoğlu Yusuf, Unal Murat, Ozcan Cengiz, Görür Kemal, Horasan Elif Sahin, Sevük Levent

机构信息

Department of Otolaryngology, Medicine Faculty of Mersin University, Mersin, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2010 Mar-Apr;20(2):57-63.

Abstract

OBJECTIVES

We evaluated patients who had been treated for head and neck tuberculosis.

PATIENTS AND METHODS

This retrospective study included 40 patients (28 males, 20 females; mean age 32.6 years; range 11 to 65 years) who had received treatment for tuberculosis of the head and neck region between January 2000 and June 2009. Clinical findings, treatment modalities, and the results of treatment were evaluated.

RESULTS

Forty-one patients had cervical lymphadenopathy, two patients had parotid gland tuberculosis, two patients had nasopharyngeal tuberculosis, and three patient were diagnosed as tongue, tonsil and larynx tuberculosis respectively. Lymph nodes in the posterior triangle were found to be the most common region afflicted by tuberculosis lymphadenitis. Diagnosis was confirmed by excisional biopsy in all patients and lesions were resolved after antituberculosis chemotherapy.

CONCLUSION

Although different clinical presentations were seen, tuberculosis cervical lymphadenitis is the most common presentation of tuberculosis in the head and neck region. Tuberculosis should be considered in the differential diagnosis of the neck mass and other head and neck lesions.

摘要

目的

我们对接受过头颈部结核病治疗的患者进行了评估。

患者与方法

这项回顾性研究纳入了2000年1月至2009年6月期间接受过头颈部区域结核病治疗的40例患者(28例男性,20例女性;平均年龄32.6岁;年龄范围11至65岁)。对临床发现、治疗方式及治疗结果进行了评估。

结果

41例患者有颈部淋巴结病,2例患者有腮腺结核,2例患者有鼻咽结核,3例患者分别被诊断为舌、扁桃体和喉结核。发现后三角区的淋巴结是受结核性淋巴结炎影响最常见的区域。所有患者均通过切除活检确诊,抗结核化疗后病变消退。

结论

尽管观察到不同的临床表现,但结核性颈部淋巴结炎是头颈部区域结核病最常见的表现形式。在颈部肿块及其他头颈部病变的鉴别诊断中应考虑结核病。

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