关键词：结核，淋巴结；颈淋巴结清扫术
【摘要 】 目的 探讨混合型颈淋巴结结核的外科治疗途径。方法 采用颈淋巴结清扫术治疗122例混合型颈淋巴结结核。并对脓肿、窦道，肿大淋巴结大小、个数、发生部位、病理类型进行分析。结果 122例颈淋巴结结核全部治愈，随访1～7年无复发。广泛性、顺行性感染、慢性迁延性是混合型颈淋巴结结核的特征。结论 颈淋巴结清扫术是治疗混合型颈淋巴结结核的理想术式，具有治疗时间短、疗效确切、切口隐蔽、无功能障碍、并发症少等优点。
Radical neckdissection in treating cervical lymph node tuberculosis
Guo Bing, Liu Weibo, Shao Bin,et al. Mudanjiang Hospital， Mudanjiang 157009
【Abstract 】 Objective To evaluate the significance of radical neck dissection intreatment of mixed-type cervical lymph node tuberculosis. Method One hundred twenty-two cases with mixed-type cervicallymph node tuberculosis were treated with radical neck dissection and the results of thetreatment were reported. The size, number, location and pathologic types of abscess,fistula and lymph node were also analyzed. Result All the patients were cured without relapse during 1～7 year follow-up. Spreading antegrade infection andchronic recurrence were found to be the characteristics of mixed-type cervical lymph nodetuberculosis. Conclusion Radicalneck dissection is an effective and safe approach for treating the disease.
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