喉结核:目前的表现和管理模式
Nupur Kapoor Nerurkar1, Jahnavi1
1Bombay Hospital Voice and Swallowing Centre, Bombay Hospital & Medical Research Centre, 2nd Floor MRC, Mumbai, 400020 Maharashtra India.
概括
喉结核病 (TB) 的表现正在发生变化,往往缺乏经典症状. 通过组织病理学和成像学的早期诊断,随后进行结核病治疗,导致了良好的声乐结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 喉结核病 (TB) 是一个常见的喉颗粒状疾病,表现为主要或次要.
- 结核病的复发和多药耐药性正在改变典型的喉结核病表现.
- 了解这些不断变化的模式对于有效的管理至关重要.
研究的目的:
- 描述喉结核病的当前表现模式.
- 概述喉结核病的最新管理方案.
主要方法:
- 在语音和吞诊所对患者的回顾分析.
- 包括被诊断患有颗粒状疾病的病例,特别是喉结核病.
- 对临床表现和诊断方法的审查.
主要成果:
- 在890名患者中,10名患者患有颗粒状结核病 (1.1%),其中3例确诊的喉结核病 (0.3%).
- 一例二次喉结核病例显示"脏喉"图片.
- 两个主要的喉结核病例呈现异常,单侧声拥堵或双侧白血.
结论:
- 喉结核病呈现模式发生了变化,缺乏经典的宪法症状.
- 准确的诊断需要对原发性喉结核病进行组织病理学检测,对二次性结核病进行"脏喉"的识别.
- 适当的抗结核治疗可以确保良好的愈合和声乐结果.
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