病灶清除术治疗腹部淋巴结结核50例疗效分析

Curative Effect of Foci Debridement in 50 Cases of Abdominal Lymph Node Tuberculosis

目的探讨病灶清除术治疗腹部淋巴结结核的可行性。方法对药物治疗无效的50例腹部淋巴结结核患者采用病灶清除术治疗。结果 50例患者均治愈。1例出现胆总管瘘,经T管引流后治愈;1例损伤肠管,修补破口术后无肠瘘;1例出现淋巴漏,保守治疗后治愈;1例出现局限性结核性脓腹,经冲洗引流后治愈;1例出现粘连性肠梗阻,再手术治愈。随访2年无复发。结论对药物治疗无效的腹部淋巴结结核采用病灶清除术治疗,疗效好,手术并发症发生率低,预后好。

Objective To investigate the feasibility of treating abdominal lymph node tuberculosis by foci debridement.Methods Foci debridement was applied to the treatment of 50 abdominal lymph node tuberculosis patients who were refractory to medical therapy.Results All 50 patients were cured.Bile duct leak occurred in 1 case and was cured by T-tube drainage.Intestinal injury occurred in 1 case and was repaired without intestinal fistula.Lymphatic fistula occurred in 1 case and was treated by conservative treatment.Tuberculosis peritonitis occurred in 1 case and was cured by irrigation and drainage.Adhesive intestinal obstruction occurred in 1 case and was cured by reoperation.The patients were followed up for 2 years and no relapse was observed.Conclusion Foci debridement has the advantages of good efficacy and low incidence of operative complications with good prognosis in treating abdominal lymph node tuberculosis patients who are refractory to medical therap.