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Date Published: 10/02/2023
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DOI: https://doi.org/10.51298/vmj.v520i1B.3917
Issue
Vol. 520 No. 1B (2022)
Section
Các bài báo
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Nguyễn , X. D., Trần , S. T., & Đàm , T. (2023). ROLE OF SURGERY IN THE DIAGNOSIS AND TREATMENT OF PERIPHERAL LYMPH NODE TUBERCULOSIS IN NATIONAL LUNG HOSPITAL. Vietnam Medical Journal, 520(1B). https://doi.org/10.51298/vmj.v520i1B.3917

ROLE OF SURGERY IN THE DIAGNOSIS AND TREATMENT OF PERIPHERAL LYMPH NODE TUBERCULOSIS IN NATIONAL LUNG HOSPITAL

Xuân Diễn Nguyễn 1,, Sơn Tùng Trần 1, Tọa Đàm 1
1 National Lung Hospital

Main Article Content

Abstract

Objectives: 1. Evaluate the role and results of surgery in the treatment of peripheral lymph node tuberculosis. Subjects and methods: A cross-sectional descriptive study of 105 patients with tuberculosis of the peripheral lymph nodes from June 1, 2020 to June 30, 2021 who underwent surgical curettage to clear inflammation and remove pus., take tissue necrosis and test LPA, MGIT (bactec), histopathology. All patients were treated with TB drugs according to the National TB Program's regimen of 12 months (2RHZE/10RHE), wound healing time after surgery and detect drug resistance. Results: 105 patients, 67 women, 38 men, mean age 32.26 ± 12.1; cervical lymph node location 97/105 (92.4%), right neck more than left neck (58 and 36), 77 patients with purulent necrotizing lymphadenitis, 28 patients with biopsy results of tuberculosis, tuberculosis inflamed tissue 97 (92.4%), LPA 25/105 (23/8%), MGIT 59/105 (56.2%) was positive. Super drug resistance 1 patient; The most resistant are Streptomycin and Isoniazid. Conclusion: Surgical treatment of peripheral lymph node TB achieves 2 goals of resolving complications of lymph node TB and taking specimens for testing to detect drug resistance.

Article Details

Keywords

Lymph node TB; Scrofula; Surgical treatment of lymph node TB.

References

1. Subrahmanyam, M. (1993), "Role of surgery and chemotherapy for peripheral lymph node tuberculosis", Br J Surg. 80(12), pp. 1547-8
2. Campbell, I. A. and Dyson, A. J. (1977), "Lymph node tuberculosis: a comparison of various methods of treatment", Tubercle. 58(4), pp. 171-9
3. Lekhbal, A., et al. (2020), "Treatment of cervical lymph node tuberculosis: When surgery should be performed? A retrospective cohort study", Ann Med Surg (Lond). 55, pp. 159-163
4. Jawahar, M. S. (2000), "Scrofula revisited: an update on the diagnosis and management of tuberculosis of superficial lymph nodes", Indian J Pediatr. 67(2 Suppl), pp. S28-33
5. Jawahar, M. S., et al. (2005), "Treatment of lymph node tuberculosis--a randomized clinical trial of two 6-month regimens", Trop Med Int Health. 10(11), pp. 1090-8
6. Li, Q., et al. (2021), "[Clinical analysis of lateral cervical approach in the treatment of cervical lymphatic tuberculosis complicated with parapharyngeal space abscess]", Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 35(7), pp. 593-598
7. Mihashi, H., et al. (2012), "[A clinical study on cervical tuberculous lymphadenitis: the position of a low invasive needle aspiration procedure for the diagnosis of cervical tuberculous lymphadenitis]", Nihon Jibiinkoka Gakkai Kaiho. 115(12), pp. 1037-42
8. Polesky, A., Grove, W., and Bhatia, G. (2005), "Peripheral tuberculous lymphadenitis: epidemiology, diagnosis, treatment, and outcome", Medicine (Baltimore). 84(6), pp. 350-362.