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通过对临床156例面颈部淋巴结核病例的诊治及追踪调查,提出了面颈部淋巴结核的诊断除不能忽视病史、体格检查及常规辅助检查外,B超检查可为临床提供比较客观的诊断依据。治疗要从药物及外科手术两方面着手,相辅相成。药物治疗应注意结核菌的耐药性,合理、规则、足疗程用药。而对已形成瘘管,或孤立液化,或局限多个较大的结核肿块、或有反复发作史者应采取区域淋巴结清扫术,术后继续合理、规则用药,复发病例明显减少,大大提高了治愈率。
Through clinical diagnosis and follow-up investigation of 156 cases of clinical cervical and face lymph node tuberculosis, the diagnosis of face and neck lymph node tuberculosis was proposed. In addition to the history, physical examination and routine auxiliary examination can not be ignored, B-ultrasound can provide more objective clinical diagnosis in accordance with. Treatment should start from the two aspects of medicine and surgery, complement each other. Drug treatment should pay attention to the drug resistance of tuberculosis, reasonable, regular, full course of medication. And has formed a fistula, or isolated liquefaction, or confined to a number of larger tuberculous masses, or recurrent seizures should be taken regional lymph node dissection, continue to rational postoperative, regular medication, significantly reduced the recurrence of cases, greatly improving the cure rate.