Stewart M G, Starke J R, Coker N J
Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Tex.
Arch Otolaryngol Head Neck Surg. 1994 Aug;120(8):873-6. doi: 10.1001/archotol.1994.01880320073016.
To review the treatment and outcome of patients with nontuberculous mycobacterial infections of the head and neck.
Retrospective examination of the medical records of patients treated by several surgeons during a 5-year period with a minimum 6-month follow-up.
Large teaching children's hospital.
Twenty-six children hospitalized for treatment of nontuberculous mycobacterial infections of the head and neck.
Resolution of infection, recurrence, and need for additional surgical intervention for cure.
Eleven patients initially were treated by incisional biopsy or incision and drainage procedures; eight patients developed recurrence or a draining sinus tract, necessitating a second surgical procedure. In contrast, 15 patients initially underwent complete excision; only one developed a recurrence (P < .01). Thus, eight (31%) of 26 patients required at least two surgical procedures owing to inadequate initial treatment.
Excisional biopsy is both the diagnostic procedure and treatment of choice for nontuberculous mycobacterial adenitis.
回顾头颈部非结核分枝杆菌感染患者的治疗方法及治疗结果。
对几位外科医生在5年期间治疗的患者的病历进行回顾性检查，随访时间至少6个月。
大型教学儿童医院。
26名因头颈部非结核分枝杆菌感染而住院治疗的儿童。
感染的消退、复发情况以及为治愈而需要的额外手术干预。
11名患者最初接受了切开活检或切开引流手术；8名患者出现复发或形成引流窦道，需要进行第二次手术。相比之下，15名患者最初接受了完整切除手术；只有1名患者复发（P <.01）。因此，26名患者中有8名（31%）因初始治疗不充分而至少需要进行两次手术。
切除活检既是非结核分枝杆菌腺炎的诊断方法，也是首选的治疗方法。
