关键词: 颈部淋巴结结核, 治疗方案, 超声, 分型

Abstract: Objective To explore guiding significance of ultrasonic classification for treatments of neck lymphatic tuberculosis，and to provide selection basis for clinical therapeutic regimen. Methods The clinical data of 145 patients with neck lymphatic tuberculosis were retrospectively analyzed，according to the treatment plan were divided into the internal medicine group and the surgery group，and statisti? cal analyses of the cases number，the cure rate，the recurrence rate of different ultrasonic classification were conducted in the two groups，the difference of cure rate and recurrence rate were compared in the two groups. Results All the cases of type I and IV were treated with internal medicine and the cure rate was 100%.Type II 78. 9% took internal medicine treatment，the cure rate was 90. 0%，the recurrence rate was 10%，21.1% took surgical treatment，the cure rate was 100%. Type Ⅲ 71.2% adopted surgical treatment，the cure rate was 95. 2%，the recurrence rate was 4. 8%，28. 8% adopted internal medicine treatment，the cure rate was 76. 5%，the recurrence rate was 23. 5%. Conclusion For ultrasonic classification of type Ⅱand type Ⅲ，internal medicine and surgical treatment had no statistical significance in the difference，but the case number of recurrence in surgery group is less than that in internal medicine treatment group.The ultrasonic classification has guiding value in selection of therapeutic regimen for treatments of neck lymphatic tuberculosis.

Key words: neck lymphatic tuberculosis, therapeutic regimen, ultrasonic, classification