颈部淋巴结核的外科治疗方法分析

Analysis of Surgical Treatment of Cervical Tuberculous Lymphadenitis

目的探讨颈部淋巴结核的外科治疗方法,以供参考。方法随机选取该医院2012年1月—2013年3月收治的颈部淋巴结核病患50例作为手术组,实施手术治疗。以同期实施保守治疗者50例作为保守组。对比两组在治疗总有效率、复发率、不良现象等方面的差异性。结果手术组病患治疗总有效率明显高于保守组,差异经统计学软件参数检验显示差异有统计学意义(P<0.05)。手术组病患复发率明显低于保守组,差异经统计学软件参数检验显示差异有统计学意义(P<0.05)。手术组病患不良现象发生率跟保守组接近,差异经统计学软件参数检验显示差异无统计学意义(P>0.05)。结论颈部淋巴结核手术治疗和保守治疗都有一定的效果,但是相对来说,颈部淋巴结核的外科治疗方法更为简单,治疗时间短,治疗彻底,治愈率高,且复发率低,比较安全,值得在临床上推广应用。

Objective To investigate the surgical treatment of cervical tuberculous lymphadenitis for reference. Methods 50 patients with cervical tuberculous lymphadenitis admitted to the hospital between January 2012 and March 2013 who underwent surgical treatment, and other 50 patients undergoing conservative treatment in the same period were assigned to operation group and conservative group, respectively. The total effective rate, the relapse rate, and adverse events were compared between the two groups. Results Test result by statistical analysis software indicated that the overall effective rate was significantly higher, the relapse rate was significantly lower in the surgical group than in the conservative group with statistical differences,P <0.05, but no statistically significantly difference was found between the two group in adverse events,P>0.05. Conclusion Although both the two methods are effective in various degrees in treating cervical tuberculous lymphadenitis, but surgical treatment was relatively more simple, and has shorter duration of treatment, higher cure rate, lower relapse rate and higher safety, therefore it is worthy of promotion.