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題 名 | 頸部結核性淋巴腺炎--25例之回顧與分析=Cervical Tuberculous Lymphadenitis--A Review and Analysis of 25 Cases |
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作 者 | 陳培榕; 張文哲; 徐莉萍; 李仁智; 許永祥; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:3 1998.06[民87.06] |
頁 次 | 頁16-21 |
分類號 | 416.894 |
關鍵詞 | 頸部結核性淋巴腺炎; Cervical tuberculous lymphadenitis; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:結核病在花東地區發生率較高。頸部淋巴結是肺外結核最常見的地方。而 早期診察及治療是預防結核病漫延很重要的方法。 方法:收集花蓮慈濟醫院耳鼻喉科自 1991 年 7 月至 1996 年 6 月經病理報告證實為頸部 結核性淋巴腺炎的 25 例病人,回溯研究其臨床資料及治療模式。 結果:年輕成人及原住民較多,女性與男性比為 16:9, 頸部腫塊單側居多( 92% ),多 位於同一頸區( 68% ),但可能多個淋巴結同時感染且併有排出竇( discharge sinus ) 。 7 例病人發現肺或其它器官有活動性結核。 25 例病人都接受淋巴結切除性切片( excisional biopsy )。 其中 20 例接受術後 1 年的 rifampicin, isoniazid 和 ethambutol 或再加上至少 2 個月 pyrazinamide 來治療,均獲得良好反應。 結論:我國雖然為出生嬰兒及國小兒童施打 BCG 疫苗,但仍是結核病高盛行率之國家。 而 在結核菌素測驗較不可靠的情況下,病理切片及臨床訊息的配合是鑑別診斷及治療很重要的 過程,並建議術後 1 年的藥物治療。 |
英文摘要 | Background: Tuberculosis occurs more frequently in eastern Taiwan. Cervical lymph node is the most common site of extrapulmonary tuberculosis. Early detection and treatment are very important for the prevention of spread of tuberculosis. Methods: We retrospectively studied the clinical data and treatment modalities of 25 cases of cervical tuberculous lymphadenitis confirmed by histopathology from July 1991 to June 1996 in Department of ENT, Tzu-Chi Hospital, Hualien. Results: Young adults and aborigines were most frequently infected and the female to male ratio was 16:9. Neck mass in most cases was unilateral (92%) and in single neck level (68%) but may be multiple nodal infection with discharge sinus. Active pulmonary or other organs' tuberculosis was noted in 7 cases. We performed lymph node excisional biopsy in all cases. 20 of 25 cases who received post-operative 1-year regimen of rifampicin, isoniazid and ethambutol with or without at least 2-month pyrazinamide had good response. Conclusions: Tuberculosis still has high prevalence rate in Taiwan although we perform routine BCG vaccination during infancy and childhood. Because tuberculin skin test is less reliable, excisional biopsy in addition to clinical information is important for differential diagnosis and treatment. A post-operative 1-year medical therapy is also recommended. |
本系統中英文摘要資訊取自各篇刊載內容。