关键词: 结核, 脓肿, 溃疡, 颈淋巴结, 淋巴结清扫术

Abstract: Objective To investigate the feasibility and safety of functional regional cervical lymph node dissection in the treatment of abscess and ulcerated cervical lymphatic tuberculosis and to improve the therapeutic effect of abscess and ulcer cervical lymph node tuberculosis. Methods From January 2019 to June 2020, 68 patients with abscess and ulcerated cervical lymphatic tuberculosis underwent functional regional cervical lymph node dissection and retrospectively analysed these clinical data. Results In the 68 patients with cervical lymphatic tuberculosis, 50 cases were abscess type and 18 cases were ulceration type. All patients underwent surgical procedure of functional regional cervical lymph node dissection. Postoperative follow-up period ranged from 6 to 18 months, there was 1 case of accessory nerve injury, 2 cases of residual lesion, 2 cases of postoperative recurrence, 12 cases of postoperative wound scar healing or delayed healing, and 25%（17/68） of postoperative adverse complications. The complication rate of abscess type was 12.0%（6/50）, which was significantly lower than 61.1%（11/18） of ulcer type, the difference was statistically significant （χ²=16.77,P<0.05）. The primary healing rate was 82.4%（56/68）, 92.0%（46/50）for abscess type and 55.6%（10/18） for ulcer type, The difference was statistically significant（χ²=12.1,P<0.05）. Conclusion Functional regional cervical lymph node dissection for the treatment of abscess and ulcerated cervical lymphatic tuberculosis, the surgical procedures incision can be sutured in one stage and the healing rate of the incision in one stage is high,abscess type is better than ulcerated type. Patients with early surgery have better outcomes.

Key words: Tuberculosis, Abscess, Ulcer, Cervical lymph node, Lymph node dissection