摘要
目的本研究对临床怀疑为结核性淋巴结炎的病人采用细针活检标本做细菌学培养,评价其诊断价值及耐药发生率。方法对110例临床怀疑为结核性淋巴结炎病人采用细针针吸活检术,对所获病理组织进行细胞组织学和细菌培养检查。结果74例患者经组织细胞学及细菌学被诊断为结核性淋巴结炎,其中14例(18.9%)吸引标本分离培养到结核分枝杆菌。14例病人中12例为人型结核分枝杆菌,2例牛型结核分枝杆菌。大多对四种常规抗结核药物敏感,4例(28.5%)一种或多种药物耐药。结论对临床怀疑为结核性淋巴结炎者,凡窦道、脓肿型或见有脓性吸引标本都应作结核菌培养,而结节型培养结果均为阴性,临床意义不大。
Objective This study on clinical suspicion of tuberculous lymphadenitis for patients using fine-needle biopsy specimens do bacteriological culture, and the evaluation of its diagnostic value in the isolated Mycobacterium tuberculosis in the incidence of drug resistance. Method 110 cases of suspected TB patients using lymphadenitis needle-needle aspiration biopsy, received the pathology and cell culture organizations in check. Results 74 patients by the organization cytology and bacteriology was diagnosed with tuberculosis of the lymph node inflammation, of which 14 cases （ 18.9 percent） were attracted to the isolation and culture of Mycobaeterium tuberculosis. 14 cases of patients in 12 cases of human-Mycobacterium tuberculosis, two cases of bovine Mycobacterium tuberculosis. TB drug sensitivity training studies show that most of the conventional anti-TB drugs are sensitive, four cases （28.5%） isolates were resistant to one or more drug resistance, the highest for the EMB. Primary resistance to three cases （21.4%）, followed by INH, SM of the two cases （ 14. 2% ）, RFP only one case of resistance lowest （7. 1 per cent of primary drug resistance）. Conclusion The clinical suspected tuberculosis lymphadenitis, where sinus, or abscess-Nongxing to see a specimen should be cultured for TB, and nodular culture results were negative, seems to be little clinical significance.
出处
《临床肺科杂志》
2009年第1期65-66,共2页
Journal of Clinical Pulmonary Medicine
关键词
针吸活检
淋巴结结核
结核菌培养
fine needle aspiration
lymph node tuberculosis
Culture for mycobacteria
