区域淋巴结清扫术治疗颈部淋巴结结核104例临床分析

目的 探讨区域淋巴结清扫术治疗颈部淋巴结结核的临床疗效.方法 总结2004年12月至2007年12月收治的104例颈部淋巴结结核患者的临床资料,其中结节型25例,浸润型29例,脓肿型32例,溃疡型18例.均行颈部区域淋巴结清扫术治疗,术后行正规抗结核药物治疗.结果 104例病例均治愈.手术切口甲级愈合100例,乙级愈合4例,经抗结核药物局部治疗2周愈合,治愈率100%.全部患者随访2年,复发3例,复发率2.88%.结论 区域淋巴结清扫术治疗颈部淋巴结结核,术后行正规化全身抗结核药物治疗,治疗时间短,治愈率高,手术切口美观,复发率低,安全可行.

Clinical analysis of regional lymph node dissection for treatment of neck lymph node tuberculosis in 104 cases

Objective To discusses the clinical efficacy of regional lymph node dissection for neck lymph node tuberculosis. Methods One hundred and four cases with neck lymph node tuberculosis were enrolled in the study,which were admitted from December 2004 to December 2007 in our hospital. Among all cases there were tubercle(25 cases),infiltration(29 cases),abscess(32 cases)and ulcer(18 cases). All patients underwent regional lymph node dissection and postoperative standardized anti-TB drugs treatment. Results One hundred and four cases were all cured(cure rate 100%). Incision healed of class A in 100 cases,while healed of class B in another 4 patients,who took anti-TB drugs treatment for 2 weeks and achieved curation later. All patients were followed up for 2 years,and we found recurrence in 3 cases(recurrence rate 2.88%). Conclusions The regional lymph node dissection treatment for neck lymph node tuberculosis,followed by standardization body line anti-TB drugs,is feasible therapy. The treatment is safe,quick,curative,with low recurrence rate,and the surgical incision is beautiful.