目的探讨病灶清除术治疗腹部淋巴结结核的可行性。方法对药物治疗无效的50例腹部淋巴结结核患者采用病灶清除术治疗。结果 50例患者均治愈。1例出现胆总管瘘,经T管引流后治愈;1例损伤肠管,修补破口术后无肠瘘;1例出现淋巴漏,保守治疗后治愈;1例出现局限性结核性脓腹,经冲洗引流后治愈;1例出现粘连性肠梗阻,再手术治愈。随访2年无复发。结论对药物治疗无效的腹部淋巴结结核采用病灶清除术治疗,疗效好,手术并发症发生率低,预后好。 Objective To investigate the feasibility of focal debridement for the treatment of abdominal lymph node tuberculosis. Methods Fifty cases of patients with nodal lymph node tuberculosis who were ineffective with medical therapy were treated with debridement. Results 50 patients were cured. One case had common bile duct fistula and was cured by drainage of T-tube. One case had intestinal injury, no intestinal fistula after repair and one case had lymph leak, and was cured after conservative treatment. One case had localized tuberculous pus, Flush drainage after cure; 1 case of adhesive intestinal obstruction, and then cured. Follow-up 2 years without recurrence. Conclusions The treatment of idiopathic lymph node tuberculosis with ineffective drug treatment by focal debridement has good curative effect, low complication rate and good prognosis.