Clinical analysis of 95 cases of cervical tuberculous lymphadenopathy associated with abscess formation
10.16718/j.1009-7708.2018.01.005
- VernacularTitle:颈部淋巴结结核伴脓肿形成95例临床分析
- Author:
Hua ZONG
1
;
Jie QIN
;
Hongchun LI
;
Liyuan ZHU
Author Information
1. 深圳市第三人民医院普外科
- Keywords:
cervical tuberculous lymphadenopathy;
surgical operation;
abscess formation;
surgical treatment
- From:
Chinese Journal of Infection and Chemotherapy
2018;18(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical features and surgical treatment of cervical tuberculous lymphadenopathy associated with abscess formation.Methods The clinical data of 95 cases of cervical tuberculous lymphadenopathy associated with abscess formation were reviewed and analyzed retrospectively.All the patients were treated in Shenzhen Third People's Hospital during the period from February 2012 to May 2014.Results The mean age of the 95 patients was (27.8±8.2) years.The average duration of the disease was 4.0 months.The tuberculous lymphadenopathy was most frequently found in Level Ⅳ cervical lymph nodes.Thirty-four patients were complicated with pulmonary tuberculosis.History of surgical treatment for tuberculous cervical lymphadenopathy was reported in 26 cases.Sixty-five patients were managed with incision and drainage plus dress changing.Twenty-two patients underwent abscess rinsing,excision and primary wound closure.And 8 patients received excision of ulcers and sinuses,and lymphadenopathy cleaning.The average healing time was (2.11± 1.76) months for incision and drainage.Abscess and ulcer reoccurred in 18 of the 65 patients after healing completely by incision and drainage.All the patients treated by the other two surgical modalities were cured as primary healing except 2 patients,who received local flap grafting after primary surgery.Conclusions Cervical tuberculous lymphadenopathy associated with abscess formation has special features in diagnosis and treatment.Surgical approach is usually effective if optimized for individual patients.
