53例颈淋巴结结核临床分析和分型探讨

Exploring Its Clinical Classfication by Analysis of Data of 53 patients with Cervical Tuberculous Lymphadenitis

目的:探讨颈淋巴结核的临床分型。方法:临床病例回顾研究。1980～1994年经病理确诊,资料完整的颈淋巴结核共53例。根据患者的年龄、发病情况、病程、病灶的部位以及局部与全身症状进行综合分析。结果:颈淋巴结核以颈部肿块为主要表现,年龄16月～65岁,病程2周～10年,临床表现有很大差异,发病机理不尽一致。将本病分为4型:即颈部原发型,肺结核淋巴扩散型,血行播散型和残留病灶型。结果:临床分型对本病的诊断治疗有一定的参考价值。

Objective To explore a clinical classfication of cervical tuberculous lymphadenitis ( CTL) . Method Data including their ages and clinical manifestations such as initial symptoms, course of the disease, location and characteristics of involved lymphatic nodes were analysed retrospectively in 53 patients with CTL which was pathologically diagnosed from 1980 to 1994. Results Although all of them had lumps in their cervices, the clinical manifestations of the patients with CTL were different from each other. CTL could be divided into 4 clinical types in the 53 patients, i.e.(1)primary type (23 cases) ; (2)disseminated type via lympatics from the pulmonary tuberculosis (7 cases) ; (3)blood- borne disseminated type from the pulmonary tuberculosis (4 cases) ; (4)residual foci (19 cases) . Conclusion The clinical classification of cervical tuberculous lymphadenitis is helpful to its diagnosis and treatment.