Schaad U B, Votteler T P, McCracken G H, Nelson J D
J Pediatr. 1979 Sep;95(3):356-60. doi: 10.1016/s0022-3476(79)80506-5.
The medical and surgical therapy of 82 cases of atypical mycobacterial adenitis from Dallas and 298 cases from the literature was reviewed. The 92% cure rate in 149 patients with total surgical excision alone was comparable to the 95% cure rate in 156 patients when excision was followed by antituberculous drug therapy. With incision and drainage in 63 patients the cure rate was 16% whether drugs were given or not. Ten patients were initially treated with antituberculous drugs alone and only one was cured. It is concluded that total surgical excision is definitive therapy for this disease and that antituberculous drugs should be used only when surgery cannot be performed or when complete excision is not possible.
回顾了达拉斯的82例非典型分枝杆菌腺炎患者以及文献报道的298例患者的内科和外科治疗情况。149例仅接受手术全切的患者治愈率为92%，这与156例手术切除后接受抗结核药物治疗的患者95%的治愈率相当。63例行切开引流术的患者，无论是否使用药物，治愈率均为16%。10例患者最初仅接受抗结核药物治疗，仅1例治愈。结论是，手术全切是本病的确定性治疗方法，仅在无法进行手术或无法完全切除时才应使用抗结核药物。
