Dandapat M C, Mishra B M, Dash S P, Kar P K
Department of Surgery, M.K.C.G. Medical College, Orissa, India.
Br J Surg. 1990 Aug;77(8):911-2. doi: 10.1002/bjs.1800770823.
One hundred and ninety-two patients with peripheral lymphadenopathy were screened and 80 patients with tubercular lymphadenitis were studied. Their ages ranged from 1 to 65 years; most were younger than 30 years and there was a slight female preponderance (1.2:1). Seventy per cent of patients were of low socioeconomic status. Of the 80 patients, 56 had affected cervical nodes, seven had inguinal nodes, five had axillary nodes and 12 had multiple sites of lymph node involvement. All had enlarged nodes which were matted in 44 cases and discrete in 18 cases, while the rest had either an abscess or a discharging sinus. Fifty-nine cases (74 per cent) showed a positive Mantoux test and four cases (5 per cent) had associated pulmonary tuberculosis. Fine needle aspiration cytology gave a positive diagnosis in 66 cases (83 per cent). Fifty-two cases showed a positive culture for Mycobacterium tuberculosis of human type in Lowenstein-Jensen medium. Short-term chemotherapy (9 months) consisting of rifampicin, isoniazid and ethambutol gave an excellent result. Surgery was not required in any of the cases.
对192例周围淋巴结病患者进行了筛查，对80例结核性淋巴结炎患者进行了研究。他们的年龄从1岁到65岁不等；大多数患者年龄小于30岁，女性略占优势（1.2:1）。70%的患者社会经济地位较低。在这80例患者中，56例颈部淋巴结受累，7例腹股沟淋巴结受累，5例腋窝淋巴结受累，12例有多个淋巴结受累部位。所有患者均有淋巴结肿大，其中44例相互融合，18例孤立，其余患者有脓肿或窦道形成。59例（74%）结核菌素试验呈阳性，4例（5%）合并肺结核。细针穿刺细胞学检查66例（83%）诊断阳性。52例在罗-琴培养基上培养出人型结核分枝杆菌。由利福平、异烟肼和乙胺丁醇组成的短期化疗（9个月）效果极佳。所有病例均无需手术治疗。
