原发性颈淋巴结核的诊断及治疗

Diagnosis and Therapy of Patients with Primary Lymphoid Tuberculosis

[目的]探讨原发性颈淋巴结核的诊断及治疗方法。[方法]分析本院35例原发性颈淋巴结核患者的临床资料。35例患者经给予细针穿刺针吸活检，有9例确诊，给予抗结核治疗1年；26例患者行手术切除病理检查确诊，术后抗结核治疗半年。[结果]35例患者均随访1年以上，未见颈淋巴结复发。[结论]原发性颈淋巴结结核确诊首选细针穿刺活检；诊断不明者行肿块切除病理确诊。确诊者均需抗结核治疗。手术对原发性颈淋巴结核有明确诊断、治疗及缩短抗结核药物应用时间的作用。

[Objective]To explore the diagnosis and therapy of patients with primary lymphoid tuberculosis. [Methods] The clinical data of 35 patients with primary lymphoid tuberculosis were analyzed. Among 35 patients, 9 patients confirmed by fine needle aspiration biopsy received anti-tuberculosis treatment for a year, while 26 patients confirmed by surgery and pathology received anti-tuberculosis treatment for half a year. [Results] All 35 patients were followed up for more than 1 year. No recurrence of cervical lymph node was observed. [Conclusion] Fine needle aspiration biopsy is the first choice in the diagnose of primary lymphoid tuberculosis. For patients with unknown diagnosis, the mass was excised for definitive diagnosis by pathology. Patients with definitive diagnosis are required to receive anti-tuberculosis treatment. Surgery is beneficial for the definitive diagnosis, treatment and the shortening of the time of anti-tuberculosis usage of primary lymphoid tuberculosis.