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63 cases clinical analysis of tuberculous lymphadenitis


Nuclear 68 cases, clinical diagnosis rate was only 50%. Migrant groups in the incidence of tuberculous lymphadenitis was significantly higher than residents (18:45). Presumably living with these two groups related to differences in living conditions. Some of that is secondary to tuberculosis lymph node tuberculosis complications, but statistics show hospital patients in the TB incidence rate in the lymph nodes, and no increase in the phenomenon. The data showed: women with lymph node tuberculosis than men (41:22), which is similar to some past studies. On the contrary,[link widoczny dla zalogowanych], we all know, tuberculosis is more common in men. The reason is unknown, ORAL other members of the public on the Shanghai survey reports of extrapulmonary tuberculosis, extrapulmonary tuberculosis accounted for merely 9.7% TB 11.9%, extrapulmonary tuberculosis turned around the surrounding lymph nodes, accounting for 38.3 %, women 48.1% higher. This data match. Ultrasound and CT examination is considered to be an effective way to check the lymph nodes. Echocardiography showed calcification in the lymph nodes or the image of the central liquefaction is helpful in differential diagnosis. Which prompted the central liquefaction necrosis liquefaction. In our data are more common in the neck lymph nodes, armpit and groin relatively small, which is similar to other reports. Tuberculin test is an essential diagnostic method for tuberculosis infection. This addition to 5 cases were negative, but tested positive reaction. 15 cases were strongly positive (20.6%). Found in the analysis of lymph node needle aspiration biopsy excision of tissue obtained and bacteriology results are similar. Han crystal and other studies have shown that availability of needle biopsy results of high specificity and sensitivity. When combined with Results prime test analysis, the sensitivity can be increased significantly, can be increased to 90%. Surgical diagnosis and treatment of lymph nodes was the main method of nuclear. But in recent decades, its role has become a downward trend. With standard anti-TB treatment progress, as the treatment of lymphatic tuberculosis,[link widoczny dla zalogowanych], a number of newer diagnostic techniques (such as fine needle aspiration biopsy) to obtain biopsy specimens, replacing a number of invading human inspection techniques. Excision of traumatic lymph nodes seems to be no much need, because of their common lymph node recurrence after surgery, swelling, and scar healing after poor local skin scar formation of the healing process often irregular, larger, affect the appearance. The needle aspiration biopsy is simple,[link widoczny dla zalogowanych], the advantages of minimal complications. Mycobacterium tuberculosis bacteria on the type of identification, according to reports in the literature, the sensitivity about 40% to 60%. In this study, can be bacteria-type clones,[link widoczny dla zalogowanych], in the lymphatic tissue was 35.3% (18/51). Bacterial culture seems more sensitive than the smear. Training also can be used for both drug-sensitive test, so this should be the main diagnostic criteria. Of course, not found in TB, and can not be excluded tuberculous lymphadenitis. In conclusion, ultrasonography, PPD, combined with cytology for judging lymph node tuberculosis seems to be a good way. The majority of patients with isoniazid, ethambutol, rifampicin and pyrazinamide or use multi-drug combination, combined with lymph node tuberculosis abscess ulcer debridement and retention at the same time the use of local anti-tuberculosis drugs. 80% of the ulcers in this article, fistula and abscess after treatment, all patients returned to normal. Another 20% were purely nodular lymphadenitis patients, a small number of patients was in the process of enlargement, but were significantly reduced after treatment or restored to its original size. So, in lymph nodes during treatment are rare, and it is not signs of treatment failure. In short,[link widoczny dla zalogowanych], the lymph node tuberculosis is still a major public health problem, especially migrant workers, in the diagnosis of lymph node disease should be seriously. Our research found that many violations of cervical lymph node tuberculosis infection, followed by mediastinal, axillary and inguinal lymph nodes, which is consistent with previous data. Mycobacterium tuberculosis culture is an important diagnostic tool, but also an important method for drug analysis. The negative bacteriological test results can not rule out the diagnosis of tuberculosis, the use of needle aspiration biopsy, needle biopsy specimens and joint cytology, bacterial culture, while the tuberculin test, ultrasound study, CT examination can be made more clear diagnosis.