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BCG 접종후 발생한 임파선염의 외과적 치료

Surgical Treatment of Lymphadenitis after BCG Vaccination

건국의과학학술지 1994년 4권 1호 p.133 ~ 140
이호정, 김재원,
소속 상세정보
이호정 (  ) - 건국대학교
김재원 (  ) - 건국대학교

Abstract


We have examined 50 cases of lymphadenitis developed after BCG vaccination who were treated from January 1992 to December 1993 at Kon-Kuk University Hospital.
@ES The results are as follows:
@EN During 2 years, 50 cases of lymphadenitis were treated. Among them, 3 cases (6%) were operated under the general anesthesia. The operative procedures performed were wide excision(6%), and incision and drainage(88%). Group 1~4. The most
prevalent age
group was 15 weeks and male to female ratio was 28:22(1.27:1). The most frequent location of the lesion was ipsilateral axilla. Palpable mass was the most common sign and most common cause of visit to hospital. Patient with pulmonary tuberculosis
was
detected in only one and the others were no active pulmonary tuberculosis. The diagnostic modality were local finding, AFB staining, PPD skin test, PCR, and pathologic finding. Among them, PPD skin test and PCR were significantly correlated with
duration of wound closure. The most common pathologic finding was chronic granulomatous inflamation(class IV : 68%) To whom incision and drainage were underwent, INH medication was received on the 45 patients (90%). Average duration of
anti-tuberculous
medication was 4 months. Average duration of wound closure 49 days compare with non-medicated group, of which the wound closure was 45 days. There was no statistical difference.

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