摘要
Abstract
Objective To investigate the clinical characteristics of cervical lymph node tuberculosis,and to improve diagnosis and treatment of cervical lymph node tuberculosis.Method From December 2005 to December 2010,126 cases of cervical lymph node tuberculosis in our hospital were diagnosed and treated,whose clinical data was retrospectively analyzed.Results In 126 patients,there were 60 cases of nodular type (47.6％),27 cases of infiltrative type (21.4％),22 cases of abscess type (17.5％),17 cases of sinus type (13.5％).There were 58 cases of pulmonary tuberculosis (46.0％),53 cases of local pain (42.1％),41 cases of cough (32.5％),21 cases of low-grade fever (16.7％),19 cases of night sweat (15.1％),14 cases of fatigue (11.1％),15 cases of weight loss.The cure rate and effective rate of 6 month course were 60.3％,39.7％ respectively,those of 12 month course were 95.6％,4.4％ respectively.Followed up for 2 years,3 cases in 6 months treatment group relapsed,accounting for 5.2％; 2 cases in 12 months treatment group relapsed,accounting for 2.9％.Conclusions Most of cervical lymph node tuberculosis is not associated with typical symptoms of systemic poisoning,prone to misdiagnosis.It should be confirmed based on lymph node biopsy,tuberculin test,tuberculosis antibody test and other tests.None confirmed cases should receive diagnostic treatment.L-shaped lymph acid-fast bacterial infection should be paid attention to,avoiding misdiagnosis.Treatment principle of cervical lymph node tuberculosis is identical with tuberculosis,ulcer and sinus type can be combined with local surgical debridement or pumping pus treatment.Treatment should be extended to a year or more,in order to improve the cure rate and lower recurrence rate.关键词
颈部淋巴结结核/诊断/药物疗法Key words
Lymph node tuberculosis/ Diagnosis/ Drug therapy
