喉結核症－九年經驗

1987年1月至1996年1月9年間本科共經歷36個病理切片證實的喉結核病例，就其臨床表現、年齡、性別、初診診斷、症狀、病灶發生部位及胸部X光做分析比較。結果男性有32例女性4例，男女比為8比1；平均年為52.9歲；症狀以聲音沙啞最多；而初診診斷為喉結核或懷疑是喉結核有7例，許多均診斷為喉部腫塊或疑喉癌。病灶發生部位有17例是單處侵犯，另19例是多處侵犯，病史發展時間之長短和喉部多處侵犯有相關，而感染部位以聲帶占最多。胸部X光有2例是正常，另34例異常。雖然大部份喉結核常次發於肺結核且以藥物治療預後良好，但喉結核發生率這9年間並沒有逐年減少的趨熱，顯示結核防治仍待加強。

關鍵字

結核症；喉

並列摘要

From January 1987 to January 1996, 36 patients with laryngeal tuberculosis were diagnosed in our department. The group was comprised of 32 men and 4 women with a median age of 53 years (range, 26 to 73 years). Hoarseness was the most common symptom and presented in 83.3% of the patients. There were only 7 patients(19.4%) who were suspected or diagnosed as having laryngeal tuberculosis on the initial visit. Twenty-four patients were diagnosed or suspected as having laryngeal cancer. The laryngeal lesions were solitary in 17 patients and multiple in another 19 patients. Most patients(69.4%) had the lesions on the true vocal cords. Although pulmonary tuberculosis is claimed to be under control in Taiwan, the incidence of laryngeal tuberculosis has not seemed to decrease over this 9-year period. The incidence of pulmonary and laryngeal tuberculosis may increase in the near future, especially under the shadow of ALDS. We should not exclude the possi-bility of laryngeal tuberculosis in the patients with various laryngeal lesions.

並列關鍵字

tuverculosis ； larynx

國際替代計量

喉結核症－九年經驗

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