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目的 探讨腮腺结核的临床特点、诊断及治疗方法。方法 收集经病理证实的腮腺结核病19例并进行回顾性临床分析。结果 腮腺结核19例中有16例表现为局限性无痛性包块,质地中等,术前细针穿刺涂片可协助诊断与鉴别诊断,19例均行手术切除及抗结核治疗,随访2年以上局部无复发。结论 腮腺结核临床上少见且误诊发生率高,手术切除与抗结核治疗结合可达到治愈目的。
Objective To investigate the clinical features, diagnosis and treatment of parotid gland tuberculosis. Methods Nineteen cases of pathologically confirmed parotid tuberculosis were collected and retrospectively analyzed. Results 19 cases of parotid tuberculosis in 16 cases showed localized painless mass, medium texture, preoperative fine needle aspiration biopsy can help diagnosis and differential diagnosis, 19 patients underwent surgical resection and anti-TB treatment, followed up for 2 years No local recurrence above. Conclusions Parotid tuberculosis is rare in clinic and has a high incidence of misdiagnosis. Surgical resection combined with anti-TB therapy can achieve the purpose of cure.