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경부 결핵성 임파선염
Tuberculous Cervical Lymphadenitis
한낙천(Nak Cheon Han),이승렬(Seung Ryeol Rhee)
UCI I410-ECN-0102-2009-510-004895806
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A clinical review for 109 cases of tuberculous cervical lymphadenitis was made during past 5 years from January 1983 to December 1987 at the Department of Surgery, Chonbuk National University Medical School. 1) The age of the highest incidence was 20~29 year old age group in 42.2% (46 cases) and females predominated over males by 18:1. 2) The duration of disease was less than 3 months in 56.9% (62 cases), 3 months to 6 months in 17. 4% (19 cases). 3) The frequency of location was as follows; 80.7% (88 cases) of the cases was unilateral. Of 88 cases in which were unilateral, 58.7%.(64 cases) was right side and 22.0% (24 cases) left side. Node groups of involvement as follows, deep cervical group 27.5% (30 cases), supraclavicular group 22.9% (25 cases), combined group 22.9% (25 cases). 4) The clinical manifestation was as follows; painless swelling of lymph node in 72.5% (79 cases) cough with sputum, fever and chill in 13.8% (15 cases) each other. 5) Multiple masses were seen in 57.8% (63 cases) and single mass in 26.6% (29 cases), cold abscess in 11.9% (13 cases). 6) Seasonal distribution was as follows: spring 47.7% (52 cases), summer 26.6% (29 cases), winter 20. 2% (32 cases), autumn 5.5% (6 cases). 7) On the findings of chest X-ray, 31.1% (32 cases) were positive. 8) All cases were treated with antituberculous chemotherapy, And radical lymphadenectomy was done in 71.6% (78 cases), incision and drainage or fistulectomy in 18.3% (20 cases). 9) The recurrence was in 27.3% (3 case) after chemotherapy only and 9.8% (7 cases) after radical lymphadenectomy with chemotherapy. 10) Postoperative complications were as follows; wound infection (3 cases) and hematoma (2 cases).

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