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编号:12315063
鼻咽结核的临床治疗分析(1)
http://www.100md.com 2012年9月25日 丰建乐
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     [摘要] 目的 观察分析鼻咽结核的临床治疗方法及效果。 方法 选取本院2009年1月~2011年1月28例鼻咽结核的患者,观察组13例,先行颈部淋巴结清扫术,再给予系统的结核药物治疗;对照组15例,单纯应用系统的结核药物治疗,比较两组治疗效果。 结果 观察组总有效率为92.4%,随访1年无一例复发;对照组总有效率为86.7%,随访1年有3例复发,两组患者的疗效比较差异无统计学意义(P > 0.05);两组患者的复发率比较差异有统计学意义(P < 0.05)。 结论 经确诊为鼻咽结核的患者,先采取颈部淋巴结清扫术,再给予系统的结核药物治疗,其效果优于单纯采取药物治疗。

    [关键词] 鼻咽结核;颈部淋巴结清扫术;临床治疗;复发

    [中图分类号] R739.63 [文献标识码] B [文章编号] 1674—4721(2012)09(c)—0174—02

    Clinical treatment analysis of nasopharyngeal tuberculosis

    FENG Jianle

    Department of Otolaryngology, Mengzhuang Public Health Center of Huixian City in He''nan Province, Huixian 453621, China

    [Abstract] Objective To observe and analyze the clinical treatment methods and it''s effects for nasopharyngeal tuberculosis. Methods Twenty—eight patients with nasopharyngeal tuberculosis in our hospital from January 2009 to January 2011 were selected as research objects. The observational group which comprises 13 patients, received a neck lymphadenectomy and then a systematic drug therapy; while the other 15 patients in control group received nothing but a systematic drug therapy. The effects of two groups were compared. Results The total effective rate of observational group was 92.4% without any recurrent case within the following 1 year, and that of control group was 86.7% with three recurrent cases, there was no significant difference on efficacy between two groups (P > 0.05), but significant difference on recurrence rate between two groups (P < 0.05). Conclusion Patients with nasopharyngeal tuberculosis are given neck lymphadenectomy combining with systematic drug therapy, the effect much better than a single drug treatment in curing nasopharyngeal tuberculosis.

    [Key words] Nasopharyngeal tuberculosis; Neck lymphadenectomy; Clinical treatment; Relapse ......

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