Lymph node tuberculosis often occurs in the neck, and if abscess necrosis occurs, the effect of drug treatment alone is poor, and the formation of multiple sinus tracts makes surgical treatment traumatic, with large scars, affecting the appearance, and if the sinus tracts are not cleared, most of them will recur. Our department adopts the method of small incision, intracavitary lesion removal and intracavitary filling and drug replacement to achieve the satisfactory effect of small incision and one-time healing without recurrence. At present, nearly 100 cases of abscess type cervical lymph node tuberculosis have been treated, and all of them have achieved complete cure without recurrence. Figure 1: Left cervical lymph node tuberculosis with necrotic abscess formation. Figure 2: Abscess incision and lesion removal. Figure 3: Sinus tracts in the abscess cavity were carefully identified and removed one by one, and sinus tracts were filled with drainage gauze containing tuberculosis drugs to achieve complete removal of the lesions and complete killing of tuberculosis bacteria. Figure 4: After healing.