【摘要】 目的　探讨原发性颈淋巴结结核的临床表现和诊断依据。方法　回顾性分析 1991年 3月～ 2 0 0 2年 6月间72例原发性颈淋巴结结核的临床资料。结果　颈部结核性肿块大部分位于颈后区和颌下区。穿刺细胞学检查、切开活检或外科切除手术能明确诊断 ,所有送检的组织均具有特征性的结核性肉芽肿和干酪样坏死等病理改变。　结论　原发性颈淋巴结结核患者较少出现既往典型的结核症状 ,有必要了解其临床特点和有效的诊断方法。将抗结核药物和选择性外科治疗相结合 ,能有效的治疗原发性颈部淋巴结结核。更多还原

【Abstract】 Objectives To investigate the clinical manifestations and diagnostic methods in the patients with primary tuberculosis of cervical lymph node.Methods The clinical materials of 72 patients with primary tuberculosis of cervical lymph node from 1991 to 2002 were studied retrospectively.Results The cervical masses localized mostly to the posteriorcervical or submandibular regions were maijor clinical manifestations.Definitive diagnosis was made by fine needle aspiration cytology as well as excisional biopsy or surgical removement.Granulomatous inflammation and caseating necrosis consistent with tuberculosis on histopathological examination were found in all patients.Conclusion At the current study the classical manifestations of patients with primary tuberculosis of cervical lymph node are not so obvious as described before.Awareness of the different presentations and efficient diagnostic methods are required.Primary tuberculosis of cervical lymph node can be treated effectively with combinations of standard antituberculous medications and surgical treatment options.更多还原