手术治疗婴幼儿卡介苗性淋巴结结核

Surgical Treatment of BCG Lymph Node Tuberculosis in 12 Cases of Infant

目的探讨手术治疗婴幼儿卡介苗性淋巴结结核的临床疗效。方法回顾性分析12例卡介苗性淋巴结结核患儿的临床资料,总结其临床特点、手术方法、疗效及预后。结果患儿均经手术切除病灶一期缝合伤口方法治愈。其中5例在外院误诊,2例已破溃流脓,1例切开引流后复发。术后随访6～24月无复发。结论婴幼儿卡介苗接种后发生同侧腋下淋巴结结核较少见,容易引起误诊误治;手术切除彻底清除病灶,是快捷治疗本病的有效方法。

Objective Discuss the clinical efficacy of BCG lymph nodetuberculosis ,which cured by surgical. Methods Retrospec- tively analyzed BCG lymph nodetuberculosis of 12 patients＇clinical information, review their clinical features, surgical technique, curative effect and prognosis. Results Children were cured by surgical removal of lesions and suture of the wound.5 cases misdiag- nosed outside the hospital, 1 case recurred after incision and drainage, 2 cases had ulceration pus, Were followed up for 6 ~ 24 months without recurrence. Conclusions Infants after BCG vaccination ipsilateral axillary lymph node tuberculosis is less common, easily lead to misdiagnosis. Complete removal of lesion surgery, is a fast and effective method for the treatment of this disease.