CAJ | 학술논문

目的分析口腔颌面部结核的临床特点、诊断及治疗方法.方法回顾性分析132例口腔颌面部结核病患者的临床资料.结果 132例患者中,男女之比为1∶1.69,平均年龄为38.7岁,15～40岁为高发年龄组,占59.85%;口腔颌面部各部位均可累及,其中侵犯淋巴结占82.58%.107例手术加药物治疗,25例单纯药物治疗,随访2例复发.结论口腔颌面部结核局部症状不典型,易造成误诊;单灶性淋巴结结核、口腔黏膜结核、集中于一个区域的多灶性淋巴结核和涎腺结核患者可行手术治疗,但对于多区域多灶性淋巴结结核、骨结核等明确诊断后给以药物治疗为主.
목적 분석구강합면부결핵적림상특점、진단급치료방법.방법 회고성분석132례구강합면부결핵병환자적림상자료.결과 132례환자중,남녀지비위1∶1.69,평균년령위38.7세,15～40세위고발년령조,점59.85%;구강합면부각부위균가루급,기중침범림파결점82.58%.107례수술가약물치료,25례단순약물치료,수방2례복발.결론 구강합면부결핵국부증상불전형,역조성오진;단조성림파결결핵、구강점막결핵、집중우일개구역적다조성림파결핵화연선결핵환자가행수술치료,단대우다구역다조성림파결결핵、골결핵등명학진단후급이약물치료위주.
Objective To study the clinical characteristics of tuberculosis in oral and maxillofacial region,and to provide reference in early diagnosis and early treatment. Methods The clinical data of 132 patients were analyzed retrospectively. Results In all cases, male to female ratio of 1∶1.69, the average age of 38.7 years, the group of 15 ～40year-old had higher incidence. Al1 parts of oral and maxillofacial region could be involved. In all 132 cases,107 cases were treated by surgery and drugs,25 cases by drugs only. Conclusion The local sign of tuberculosis in oral and maxillofacial region was atypical ,so it was likely to misdiagnosis. Definitive diagnosis relied on pathological examination. Operations played an important role in the cases of unifocal lymph nodes tuberculosis,oral mucosal tuberculosis, multifocal concentrated lymph nodes tuberculosis and salivary tuberculosis, while the therapy of multifocal sporadic lymph nodes tuberculosis and osseous tuberculosis should be relied on the medicine.