Observation of the therapeutic effect of modified small incision lesion clearance combined with functional neck lymph node dissection on cervical lymphatic tuberculosis
Objective To investigate the clinical effect of modified small incision lesion clearance combined with functional neck lymph node dissection(FND)for the treatment of cervical lymph node tuberculosis.Method One hundred and four patients with cervical lymphatic tuberculosis admitted to the Department of General Surgery of Hebei Chest Hospital from August 2020 to August 2022 were selected and divided into observation group and control group using the random number table method,with 52 cases in each group.The observation group was treated with modified small incision lesion removal combined with FND,and the control group was treated with conventional incision lesion removal combined with FND.The treatment effect,surgery-related indexes,incision healing,postoperative pain degree and complication rate of the two groups were compared.Result There was no statistically significant difference in the total effective rate of treatment between the two groups(P＞0.05).The intraoperative bleeding of the observation group was less than that of the control group,the operation time,incision length,drain removal time,hospital stay,incision scar length,incision healing time were shorter than that of the control group,the incision healing rate was higher than that of the control group,and the visual analogue scale(VAS)scores of pain in the resting and active states were lower than that of the control group at 12,24,48,and 72 h postoperatively,and the differences were statistically significant(P＜0.05).The incidence of postoperative complications in the observation group was 3.85%,which was significantly lower than the 17.31%in the control group,and the difference was statistically significant(P＜0.05).Conclusion Modified small incision lesion removal combined with FND for cervical lymphatic tuberculosis could promote postoperative recovery and incision healing,reduce postoperative pain,and had fewer complications.
万方数据
维普
