颈椎淋巴样结核:诊断和治疗

R. Zaatar , A. Biet , A. Smail , V. Strunski , C. Page
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引用次数: 6

摘要

目的探讨颈淋巴结结核手术诊断和治疗的优势。材料与方法回顾性研究1998年1月1日至2007年12月31日30例颈淋巴结结核患者。人口中60%为原住居民,平均年龄47.1岁,女性占73.33%。结果淋巴结多位于锁骨上,单侧,坚固,最大跨度平均为3cm。22例患者切除淋巴结进行诊断,22例患者中有21例显示特异性肉芽肿和巨细胞病变伴干酪样坏死。5例脓肿性腺病需要手术引流,3例在良好的医学治疗后需要反复清扫淋巴结。结论手术在颈淋巴结结核的诊断和治疗中仍占有重要地位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tuberculose lymphonodale cervicale : prise en charge diagnostique et thérapeutique

Objectives

The purpose of this study was to evaluate the advantages of surgery for diagnosis and treatment of cervical lymph node tuberculosis.

Material and methods

This was a retrospective study from 1st January 1998 to 31st December 2007 including 30 patients with cervical lymph node tuberculosis. The population included 60% autochthones with a mean age of 47.1 years and a female predominance (73.33%).

Results

The lymph nodes were most often supraclavicular, unilateral, firm, and a mean 3 cm at its largest span. Lymph nodes were excised for diagnosis in 22 patients, which demonstrated specific granulomatous and giant cell lesions with caseous necrosis in 21 patients out of 22. Five abscessed adenopathies required surgical drainage, and three cases required repeated lymph node cleaning after well-conducted medical treatment.

Conclusion

Surgery retains an important place in the diagnosis and treatment of cervical lymph node tuberculosis.

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