最近の耳鼻咽喉科領域の結核症

TUBERCULOSIS IN THE OTOLARYNGOLOGICAL REGIONS

　I．はじめに

　結核性疾患は優れた抗結核剤の開発，普及，健康管理の確立などにより，その発生頻度は著しく減少している。しかし，耳鼻咽喉科領域の結核症は跡を絶たなく依然として臨床医にとつて看過できない疾患の1つとなつている。特に活動性病変が存在する場合は感染源となりえ，社会的にも問題となろう。最近ではその病態も変貌をきたしつつあり，しばしば悪性腫瘍との鑑別が困難なこともある。私は東大病院耳鼻咽喉科で経験した過去10年間の耳鼻咽喉科領域の結核症の病態を検討する機会を得たのでその結果を報告する。

　There were 50 patients with tuberculosis of the otolaryngological region in the Department of Otolaryngology of the Tokyo University during the recent 10 years. These patients consisted of 18 laryngeal tuberculosis, 17 tuberculous cervical adenitis, 5 tuberculous otitis media, 4 pharyngeal tuberculosis, 3 tonsillar tuberculosis, 2 tuberculnus sinusitis, 1tuberculous glossitis. The ages of thepatients ranged from 8 months to 68 years old (with average 40). The morbid age of the patients was found to be increasing recently except in cases with tuberculous otitis media. Males were more frequently involved than females. In most recent cases the cases were confusing with malignancy because of findings of tumor formation with nodular appearance. The diagnosis should be confirmed with chest x-ray, bycarefully taken personal and family histories but finally, by biopsy of the lesion.

　The treatment consisted of employing antituberculous agents which showed apparent improvement in the tuberculous pathology.