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[上海肺外结核病的流行病学分析]

[Epidemiological analysis of extrapulmonary tuberculosis in Shanghai].

作者信息

Huang J, Shen M, Sun Y

机构信息

Shanghai Disease Prevention and Control Center, Shanghai 200031, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2000 Oct;23(10):606-8.

Abstract

OBJECTIVES

To find out the epidemiological characteristics of extrapulmonary tuberculosis (TB) in Shanghai, and to explore value of this surveillance.

METHODS

Distribution of extrapulmonary TB for sex, age and suffering site 1996-1999 were analyzed. In addition, its incidence trend and mortality were also investigated. All registered cases from ten urban districts of Shanghai were included.

RESULTS

The new registration rates of extrapulmonary TB 1996-1999 were 4.65-5.78/100,000. The proportion of extrapulmonary TB to all TB was 9.7%-11.8%. The extrapulmonary TB accounted for 14.1%-17.6% of all death due to TB. The rankings of extrapulmonary TB were as follows: lymph node TB (38.3%), bone and joint TB (19.9%), urinary and genital TB (16.7%), intestine and peritoneum TB (9.1%), cerebral and nervous TB (6.4%). The sex ratio of male to female was 1 to 1.35. The new registration rates of extrapulmonary TB increased with age except that of cerebral and nervous TB was the highest in middle and young age group.

CONCLUSIONS

Surveillance on extrapulmonary TB is an important part of TB surveillance, with significant value for TB control.

摘要

目的

了解上海市肺外结核病(TB)的流行病学特征,并探讨该监测的价值。

方法

分析1996 - 1999年肺外结核在性别、年龄及患病部位的分布情况。此外,还调查了其发病率趋势和死亡率。纳入上海市十个城区所有登记病例。

结果

1996 - 1999年肺外结核新登记率为4.65 - 5.78/10万。肺外结核占所有结核病的比例为9.7% - 11.8%。肺外结核占所有结核病死亡的14.1% - 17.6%。肺外结核的顺位如下:淋巴结结核(38.3%)、骨与关节结核(19.9%)、泌尿生殖系结核(16.7%)、肠与腹膜结核(9.1%)、脑与神经系统结核(6.4%)。男女比例为1:1.35。除脑与神经系统结核在中青年组最高外,肺外结核新登记率随年龄增长而升高。

结论

肺外结核监测是结核病监测的重要组成部分,对结核病控制具有重要价值。

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