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[成人颈部结核性淋巴结炎。关于27例的诊断与治疗考量]

[Cervical tuberculous adenitis in the adult. Diagnostic, therapeutic considerations apropos of 27 cases].

作者信息

Scheffer P, Beucler A, Hartman R, Kalifat R, Lafaix C

出版信息

Rev Stomatol Chir Maxillofac. 1982;83(6):321-8.

PMID:6962485
Abstract

The authors review 27 cases of cervical tuberculosis in the adult, complete and homogeneous and essentially describe their experience concerning positive diagnostic factors as well as their therapeutic approach. Considering the results obtained, they favour early surgical treatment ranging from simple adenectomy to complete and conservative cellulo-lympho-adenectomy which is the essential treatment of choice in multi-nodal forms. This surgical attitude makes possible to considerably shorten the duration of the local course by eliminating recurrences but on the essential condition that it is accompanied by prolonged medical treatment consisting of a triple association of major anti-tuberculous drugs.

摘要

作者回顾了27例成人颈椎结核病例,病例完整且具有同质性,并基本描述了他们在阳性诊断因素及治疗方法方面的经验。考虑到所获得的结果,他们倾向于早期手术治疗,范围从单纯的淋巴结切除术到完整且保守的蜂窝状淋巴结切除术,后者是多结节型病例的主要首选治疗方法。这种手术方式能够通过消除复发显著缩短局部病程,但前提是要辅以由三种主要抗结核药物联合组成的长期药物治疗。

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