결핵성 경부 림프절염의 치료 효과에 대한 고찰
Tuberculous Cervical Lymphadenitis, Treatment and Outcome
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Abstract
Background and Objectives：Tuberculous cervical lymphadenitis is a clinically common cervical inflamatory disease. But there are controversies in the management in spite of high prevalence. The aim of this study was to investigate proper treatment modality, such as antituberculous chemotherapy and surgery. Subjects and Method：Results：Females were more affected, made over 89% with the initial tests such as FNAB, AFB stain and tuberculous PCR. The sucesful treatment rate just with anti-tuberculous medication was 90.6%. Especially, in the patients with abscess formation, treatment was successful in 90% only with anti-tuberculous medication. Seventeen cases were treated with medication and surgical management. These patients underwent selective neck disection or mas excision to remove the entire lesion and there were no recurrence. Conclusion：Tuberculous nt is under medical treatment, early surgical treatment is neded. The important thing is to remove the entire lesion when the surgical treatment must be taken. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :913-7)
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