摘要
目的：颈淋巴结结核目前在人群中发病率有上升的趋势，本文报道了3例快速进展的颈淋巴结核病例，总结其临床特点、诊断及治疗体会。材料和方法：3例患者均以颈部不明原因包块就诊，其中1人有肺结核病史，2人在过去史中无明显结核病史，3人在抗结核化疗过程中包块生长迅速，行颈部病灶清扫术再加抗结核化疗。结果：在随访的9-84月中手术加化疗者无颈部病变的复发或加重或者肺结核病变。结论：手术及术后抗结核化疗在颈部淋巴结较大或融合或发展液化时，可考虑作为一种有效的综合治疗方法。
Objective： The incidence of tuberculous cervical lymph node has been increasing in these years. Three cases of rapidly progressing tuberculous cervical lymph node and its clinical characteristics, diagnosis and treatment were reported. Method： Three patients were admitted to the hospital because of cervical mass of unkown cause, among which 1 had past history of pulmonary tuberculosis. Three patients were treated with selective neck resection- like operation and postoperative chemotherapy. Result： The patient received operation and postoperative chemotherapy were almost uneventful during the following 9 - 84 months. Conclusion： operation and postoperative anti - tuberculosis chemotherapy should be considered to be an effective adjuvant therapeutic modality when the tuberculous lymph nodes become enlarged, coalesced and liquefied.
出处
《华西医学》
CAS
2006年第4期682-683,共2页
West China Medical Journal
关键词
颈部
淋巴结
结核
治疗
neck
lymph node
tuberculosis
treatment
