摘要：目的：为提高鼻咽结核的临床诊断率。方法：对15例鼻咽结核进行回顾性分析，总结其临床特征，仅3例有肺结核史(20.0%)，8例以颈部包块为首发临床表现(53.3%)，11例初发时误诊为鼻咽部恶性肿瘤(73.3%)。结果：全部病例经正规抗结核药物治疗后痊愈，经6个月至2年随诊无复发。结论：鼻咽结核与鼻咽癌极易误诊，颈淋巴结肿大时要注意排除鼻咽结核并于鼻咽部恶性肿瘤相鉴别；鼻咽结核行全身抗痨治疗，同时应用5%链霉素局部灌洗，可显著提高疗效，缩短病程。

    关键词：结核；鼻咽疾病；颈淋巴结肿大

    Nasopharyngeal Tuberculosis: An Analytical Study and Report on 15 Cases

    CAI Yong-ming,ZHANG Wen-yuan,et al

    (Department of Otolaryngology,Shajing People's Hospital of Shenzhen City , Guangdong Shenzhen 518104, China)

    Abstract: Objective:To improve diagnostic rate of nasopharyngeal tuberculosis.Method:15 cases of nasopharyngeal tuberculosis were retrospectively analyzed and the clinical features were studied . Only three cases had known the previous history of pulmonary tuberculosis (20.0%). Cervically lymphadenopathy was the most common presenting symptom in our series (8 cases 53.3%) . 11 cases were diagnosed as nasopharyngeal malignant tumors by mistake at the beginning (73.3%) . Result: Anti-tuberculous medical treatment was successfuful in all patients after follow up from 6 months to 2 years. Conclusion: It was made a mistake in diagnosis easily between the nasopharyngeal tuberculosis and the nasopharyngeal malignant tuberculous . When cervical lymphadenopathy is found , nasopharyngeal malignant tuberculous is the most important disease in differential diagnosis for their similar clinical features . Systematic antituberculosis therapy combined with nasopharyngeal irrigation (5% streptomycin) can improve the efficacy of treatment. ......