颈淋巴结结核的临床诊治

Clinical diagnosis and treatment of tuberculous cervical lymphadenitis

目的:探讨颈淋巴结结核的临床诊断和治疗方式。方法:收治颈淋巴结结核患者80例,随机分为两组。对照组给予2HRZE/4HR化疗方案治疗,观察组给予2HRZE/6HRE化疗方案及局部外科处理治疗,对比两组临床治疗效果。结果:观察组总有效率明显高于对照组,差异具有统计学意义(P<0.05)。结论:淋巴结活体组织切片检查诊断颈淋巴结结核的准确率高,2HRZE/6HRE化疗方案及局部外科处理联合治疗临床效果显著。

Objective:To investigate the clinical diagnosis and treatment of tuberculous cervical lymphadenitis.Methods:80 cases of patients with tuberculous cervical lymphadenitis were divided into two groups randomly.The control group was given 2HRZE/4HR chemotherapy.The observation group was treated with 2HRZE/6HRE chemotherapy and local surgical treatment.The clinical treatment effect of the two groups were compared.Results:The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant (P<0.05).Conclusion:Biopsy of lymph node in diagnosis of tuberculous cervical lymphadenitis had high accurate rate and 2HRZE/6HRE chemotherapy combined with local surgical treatment had significant clinical effect.