近年来结核病在全球范围呈上升趋势，引起人们的注意，尤其是肺外淋巴结核。感染肺外淋巴结的结核杆菌大部分是“Ｌ”型，变异“Ｌ”型杆菌，使结核病缺乏典型症状、体征、生理病理［１］给临床诊断带来很大困难。颈颌淋巴结结核是肺外结核之首，也是淋巴系统最常见疾病，约占 In recent years, the global trend of tuberculosis is on the rise, attracting people’s attention, especially extra-pulmonary lymphadenopathy. Mycobacterium tuberculosis infection of extrapulmonary lymph nodes are mostly “L” type, variant “L” type bacilli, so that the lack of tuberculosis typical symptoms, signs, physiological and pathological [1] to the clinical diagnosis of great difficulties. Cervical and maxillary lymph node tuberculosis is the first extrapulmonary tuberculosis, but also the lymphatic system is the most common diseases, accounting for about