摘要
【目的】探讨口腔颌面部结核的临床特点,为该病的临床诊断和治疗提供参考。【方法】收集161例口腔颌面部结核病例,对其临床表现、鉴别诊断、误诊情况进行分析。【结果】全部病例的男女之比为：1∶1.5,平均年龄为39.1岁,90年代发病率最高,口腔颌面部各部位均可累及;16～45岁为高发年龄组,占60.2%。43例住院病人中,30例误诊,误诊率为70%;仅7.8%的患者有系统病史,局部症状表现多为肿瘤型,占78%;43例均行手术加药物治疗,1～3年随访无复发。【结论】本病多发于中青年,女性多见,局部症状不典型,系统症状少见,易与常见病相混淆。确诊主要靠病理,其它辅助检查仅供参考。
[Objective] To investigate the clinical features of tuberculosis in oral and maxillofacial region, and to provide reference for its diagnosis and treatment. [Methods] A tofal of 161 cases diagnosed as tuberculosis in the oral and maxillofacial region by pathological examination in Tianjin Stomatological Hospital between January 1970 and October 2006 were analyzed. [Results] Of all the 161 cases, 118 cases were outpatients, 43 cases were inpatients; the male to female ratio was 1 ： 1.5 ; the average age was 39.1 years; the incidence in 1990s was the highest; all parts of oral and maxillofacial region could be involved; the group of 16 ～ 45 years had higher incidence. Of all the 43 inpatients, 30 cases （78%） were misdiagnosed, only 3 cases （7.8%） had systematic symptom, tumor-like presentation was the common local symptom, all the 43 inpatients were treated by surgery and drugs. No recurrence was found 1 ～ 3years＇ follow-up [Conclusions] Tuberculosis in oral and maxillofacial region have gender and age predisposition. It occurs mostly in the middle age and youth, and in famale. Local sign is atypical, systematic symptom is rare. It should be differentiated from the common diseases in these areas. The principol mears of definite diagnosis is pathological examination.
出处
《武警医学院学报》
CAS
2007年第4期397-399,共3页
Acta Academiae Medicinae CPAPF
关键词
口腔颌面部
结核
临床特点
诊断
治疗
Oral and maxillofacial region
Tuberculosis
Clinical features
Diagnosis
Treatment
