颈部淋巴结结核35例临床分析  

Clinical feature of tuberculosis of cervical lymph node:a retrospective study of 35 cases

作　　者：黄郁林[1] 梁健刚[1] 

机构地区：[1]广东省广州市番禺区人民医院耳鼻咽喉科,广东广州511400

出　　处：《海南医学》2009年第4期31-33,共3页Hainan Medical Journal

摘　　要：目的探讨颈部淋巴结结核的临床特点、诊断依据。方法回顾性分析35例颈部淋巴结结核患者的临床资料。结果35例患者中男15例,女20例,男女之比为1∶1.33,平均年龄为25.6岁。以颈部肿块为主要表现,多数不伴有结核病的典型全身中毒症状。颈部淋巴结结核在临床上误诊率较高,抗结核治疗后治愈,随访1-3年,未见复发。结论颈部淋巴结结核临床表现不典型,有必要了解其临床特点和有效的诊断方法。手术活检可明确诊断,规则抗结核治疗可治愈。Objective To investigate the clinical mani festations and diagnostic methods in the patients with tuberculosis of cervical lymph node. Methods The clinical materials of 35 patients with tuberculosis of cervical lymph node were studied retrospectively. Results Thirty five cases of tuberculosis of cervical lymph node were clinicopathologically confirmed,of which the ratio of male to female was 1 ： 1.33（ 15：20）, average ages of these cases were 25.6. The neck mass was the the main clinical feature, while typical tuberculosis systemic symptoms were relatively rare. Tuberculosis of cervical lymph were usually misdiagnosed. These cases were cured by anti - tuberculosis therapy. There were no recurrence based the results of 1 - 3 years follow - up. Conclusion At the current study the classical manifestations of patients with tuberculosis of cervical lymph node are not so obvious as described before. Awareness of the different presentations and efficient diagnostic methods are required. The tuberculosis of cervical Iymph node can be diagnosed by histopathologic examination of biopsy and cured by standardized anti - tuberculosis therapy.

关 键 词：结核 淋巴结 颈部 诊断 

分 类 号：R522[医药卫生—内科学]