目的探讨以手术为主辅以抗结核药物治疗单纯腮腺结核的效果。方法 6例疑似腮腺结核患者采用病灶区切除治疗,标本送病理。对术后病理结果确诊为腮腺结核的病例行抗结核药物治疗,随访半年以上观察治疗效果。结果治疗后半年内电话随访6例患者术区愈合良好,无涎瘘及感染发生,无复发病例。结论手术切除有助于早期确诊腮腺结核,同时有助于切断血行传播途径,辅以系统抗结核治疗可提高腮腺结核的治愈率。 Objective To investigate the effect of surgery-based anti-tuberculosis drugs on parotid tuberculosis. Methods Six cases of parotid gland tuberculosis were treated by resection of lesion area and the specimens were sent for pathology. Postoperative pathological findings were confirmed as parotid tuberculosis cases of anti-TB drug treatment, follow-up more than six months to observe the therapeutic effect. Results Within six months after treatment, telephone follow-up of 6 patients healed well, no salivary fistula and infection, no recurrence. Conclusions Surgical resection is helpful for the early diagnosis of parotid gland tuberculosis. At the same time, it helps to cut off the route of blood transmission and the anti-tuberculosis treatment can increase the cure rate of parotid tuberculosis.