以溃疡为主要表现的咽喉部病变临床诊治分析
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湘雅常德医院

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Analysis of clinical diagnosis and treatment of laryngopharyngeal lesions
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    摘 要: 目的 回顾分析10例以咽喉溃疡病变为主要表现患者的病历资料,为临床医师诊疗该类疾病提供参考。方法 对纳入的病例从临床表现、病变部位、溃疡特点、诊疗经过、病理诊断进行分析,结合典型病例及文献复习阐述该类疾病的临床特点。结果 最后确诊喉结核6例(声门上区1例,声门区4例,声门下区1例),溃疡性咽喉炎2例、淋巴瘤1例、下咽癌1例。结论 对咽喉部不同的溃疡疾病,首先需明确诊断,除单纯溃疡,应想到特异性感染、恶性肿瘤等疾病可能,明确诊断后才能得到确切疗效。

    Abstract:

    Abstract: Objective To retrospectively analyze the medical records of 10 patients with laryngeal ulcer disease as the main presentation, and to provide reference for clinicians in the diagnosis and treatment of such diseases. Methods The clinical manifestations, lesion sites, ulcer characteristics, diagnosis and treatment process and pathological diagnosis of the included cases were analyzed, and the clinical characteristics of the disease were expounded based on the typical cases and literature review. Results 6 cases of laryngophthisis (One case was located in supraglottic portion, 4 cases was located in glottic region, 1 case was located in infraglottic?portion), 2 cases of ulcerative pharyngitis, 1 case of lymphoma, 1 case of hypopharyngeal cancer were diagnosed. Conclusion It is necessary to make definite diagnosis for different ulcer diseases of larynx and throat. Besides simple ulcer lesions, specific infection, malignant tumor and other diseases should be considered. Only after definite diagnosis can exact curative effect be obtained.

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  • 收稿日期:2021-11-12
  • 最后修改日期:2021-12-15
  • 录用日期:2021-12-16
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