目的 观察评价结核灵联合西医常规治疗颈部淋巴结结核(CTL)的临床效果。方法 将86例颈部淋巴结核患者，随 机对照试验(RCT)分为两组，对照组43例给予西医常规治疗；观察组43例在对照组治疗基础上加用结核灵片，并 比较两组的临床效果。结果 观察组总有效率为95.35%明显高于对照组79.07%(χ2 =5.1079，P=0.0000)，观察组总 不良反应发生率为11.63%显著地低于对照组34.88%(χ2 =6.5152，P=0.0000)，而1a后复发率为0显著地低于对照组 20.93%(χ2 =5.0260，P=0.0000)。结论 结核灵联合西医常规治疗颈部淋巴结结核(CTL)安全可靠，疗效显著，能够 有效的降低不良反应发生率，复发率低。

Objective To observe and evaluate the clinical effect of tuberculosis combined with Western medicine in the treatment of cervical lymph node tuberculosis (CTL). Methods Eighty-six patients with cervical lymphatic tuberculosis were randomly divided into two groups. The control group was treated with traditional Chinese medicine in 43 cases. The observation group was treated with tuberculosis tablets in the control group. Clinical effect. Results The total effective rate of the observation group was 95.35%, which was significantly higher than that of the control group (79.07% (χ2 =5.1079, P=0.0000). The total adverse reaction rate of the observation group was 11.63%, which was significantly lower than that of the control group (34.88%) (χ2 =6.5152). P=0.0000), and the recurrence rate after 1a was significantly lower than that of the control group by 20.93% (χ2 =5.0260, P=0.0000). Conclusion Tuberculosis combined with Western medicine for the treatment of cervical lymph node tuberculosis (CTL) is safe and reliable, with remarkable curative effect, which can effectively reduce the incidence of adverse reactions and low recurrence rate.