Abstract：[Abstract] Objective To build a new type of surgical staging system and verify the predictive value and curative effect in patients with cervical tuberculosis lymphadenitis. Methods Medical records of 179 cervical tuberculosis lymphadenitis patients who underwent surgical treatment from January 2013 to July 2015 in Tuberculosis Hospital of Shaanxi Province were reviewed. The data of age, body mass index, lesion size, nodal involvement area, whether complicated with diabetes as well as the existence of multidrug-resistant were analyzed to screen the risk factors which affected curative effect and complications. According to these risk factors, the surgical staging system was built. Results The lesion diameter ≥3 cm, lymph node involvement ≥2 areas and multidrug-resistant positive were risk factors which significantly increased the occurrence of postoperative complications. The LNR surgical staging system based on lesion (L), node (N) and resistence (R) was divided into three stages. The incidences of complication had statistically significant differences among each stage (P < 0.05). Conclusion The new surgical clinical staging system for cervical tuberculous lymphadenitis has good predictive value for complications and guiding significance for curative effect.
王 直 李军孝 霍雪娥 许军利 赵 涛 崔渊博 姚林明 陈其亮▲. LNR颈部淋巴结结核外科临床分期系统的构建与应用[J]. 中国医药导报, 2016, 13(3): 31-34.
WANG Zhi LI Junxiao HUO Xue'e XU Junli ZHAO Tao CUI Yuanbo YAO Linming CHEN Qiliang▲. Building and application of LNR surgical staging system in cervical tuberculous lymphadenitis. 中国医药导报, 2016, 13(3): 31-34.
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