CAJ | 학술논문

目的：探讨微波辅助治疗淋巴结结核的临床效果。方法选取我科2010年6月~2013年3月淋巴结结核患者155例,结节型54例,浸润型101例,随机分为微波组和非微波组,两组均给予相同的抗结核方案,3HRZE/6HR,微波组再加用微波局部照射治疗,每次照射15 min,每日2次,治疗4周。结果早期淋巴结结核患者加用微波局部照射治疗后,症状改善明显,肿块减小速度增快,病程缩短,较少转为脓肿型、溃疡型淋巴结结核,微波组总有效率明显高于非微波组,其中结节型微波组治疗效果显著优于非微波组(P=0．033),浸润型微波组治疗效果也显著优于非微波组(P=0．024)。结论加用微波治疗结节型溃疡型淋巴结结核有效,值得临床推广应用。
목적：탐토미파보조치료림파결결핵적림상효과。방법선취아과2010년6월~2013년3월림파결결핵환자155례,결절형54례,침윤형101례,수궤분위미파조화비미파조,량조균급여상동적항결핵방안,3HRZE/6HR,미파조재가용미파국부조사치료,매차조사15 min,매일2차,치료4주。결과조기림파결결핵환자가용미파국부조사치료후,증상개선명현,종괴감소속도증쾌,병정축단,교소전위농종형、궤양형림파결결핵,미파조총유효솔명현고우비미파조,기중결절형미파조치료효과현저우우비미파조(P=0．033),침윤형미파조치료효과야현저우우비미파조(P=0．024)。결론가용미파치료결절형궤양형림파결결핵유효,치득림상추엄응용。
Objective To explore the clinical effect of microwave-assisted therapy in the treatment of lymph node tuberculosis. Methods 155 patients with lymph node tuberculosis, including 54 cases of nodular and 101 ca-ses of infiltrative, were randomly divided into the microwave group and the non-microwave group. The two groups were given the same anti-TB program, 3HRZE/6HR, and the microwave group was additionally given microwave treatment, each exposure for 15min, twice a day. Results After additional partial irradiation with microwave treat-ment, the symptoms of early lymph node were improved significantly. Lumps decreased faster, courses became shor-ter, and fewer turned into abscesses, ulcerative lymph node tuberculosis. The total efficiency of the microwave group was significantly higher than that in the non-microwave group. Conclusion The additional microwave treatment for nodular ulcerated lymph node tuberculosis is effective and worthy of clinical application.