Iles P B, Emerson P A
Br Med J. 1974 Jan 26;1(5899):143-5. doi: 10.1136/bmj.1.5899.143.
A total of 43 episodes of tuberculosis lymphadenitis were treated in 32 adult patients. In 12 instances the affected lymph node was excised without any chemotherapy; there were 10 relapses. The treatment was local excision of the affected lymph nodes together with antituberculosis chemotherapy with at least two drugs in 30 instances; there were no relapses following such therapy.Presumably patients with tuberculosis lymphadenitis are still sometimes treated with surgery alone because that was at one time the orthodox line of surgical teaching. Such a view is out of date: these patients should always be given antituberculosis therapy in addition to any surgical measures.
32例成年患者共接受了43次结核性淋巴结炎的治疗。12例患者在未进行任何化疗的情况下切除了受影响的淋巴结，其中有10例复发。30例患者采用局部切除受影响的淋巴结并联合使用至少两种药物的抗结核化疗，这种治疗后没有复发。推测结核性淋巴结炎患者有时仍仅接受手术治疗，因为这曾经是外科教学的正统方法。这种观点已经过时：除了任何手术措施外，这些患者都应始终接受抗结核治疗。
