Taha A M, Davidson P T, Bailey W C
Pediatr Infect Dis. 1985 Nov-Dec;4(6):664-7. doi: 10.1097/00006454-198511000-00013.
A retrospective study was done on 38 patients with atypical mycobacterial lymphadenitis who underwent surgical intervention at The Children's Hospital, Denver, between the years 1953 and 1983. One group consisting of 18 patients had incision and drainage of the abscess or biopsy only. Sixteen of these patients developed a draining sinus or recurrent disease within a few months despite the use of antituberculous drugs or antibiotics. The other group, consisting of 20 patients, were treated initially by total excision of the inflammatory mass with no persistence or recurrence. The groups were found to be comparable with respect to age, sex, race, duration of disease and size and site of the lymph node involved. We recommend total excision of the lesion without antituberculous medications as the first choice of treatment.
对1953年至1983年间在丹佛儿童医院接受手术干预的38例非典型分枝杆菌淋巴结炎患者进行了一项回顾性研究。一组18例患者仅进行了脓肿切开引流或活检。尽管使用了抗结核药物或抗生素，但其中16例患者在几个月内出现了引流窦或疾病复发。另一组20例患者最初接受了炎性肿块的全切除，没有持续存在或复发。发现两组在年龄、性别、种族、疾病持续时间以及受累淋巴结的大小和部位方面具有可比性。我们建议作为首选治疗方法，在不使用抗结核药物的情况下对病变进行全切除。
