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巴基斯坦西北边境省白沙瓦市雷丁夫人医院的肺外结核病:活检结果调查

Extrapulmonary tuberculosis in Lady Reading Hospital Peshawar, NWFP, Pakistan: survey of biopsy results.

作者信息

Ullah Shafi, Shah Syed Humayun, Kamal Arshad, Begum Norin, Khan Ghaazaan

机构信息

Department of Pathology, Lady Reading Hospital, Peshawar.

出版信息

J Ayub Med Coll Abbottabad. 2008 Apr-Jun;20(2):43-6.

Abstract

BACKGROUND

Tuberculosis is a disease of poor countries. In the recent years, there has been an increase in the occurrence of extra-pulmonary tuberculosis (EPTB) world over. As very little data is available regarding the situation of EPTB in NWFP, this study was conducted to asses its frequency in various organ systems of the body and to evaluate the role of demographic factors like sex and age in its causation.

METHODS

A total of 525 cases of EPTB diagnosed histopathologically in the Department of Pathology, Lady Reading Hospital Peshawar in the years 2002-2005 were included in the study. Age, sex and sites of biopsies were recorded.

RESULTS

High female preponderance was noted with a M:F ratio of 1:2. Mean age was 35 years and 70% of the patients were in the age group 15-45 years. Lymph nodes were the most common site of EPTB, involved in 66.4% of the cases.

CONCLUSION

EPTB has high rates in females in their reproductive age. Tuberculous lymphadenitis is the most common form of EPTB. High occurrence of EPTB in female population needs immediate attention of tuberculosis control programs.

摘要

背景

结核病是贫困国家的疾病。近年来,全世界肺外结核(EPTB)的发病率有所上升。由于关于西北边境省EPTB情况的数据非常少,因此开展本研究以评估其在身体各器官系统中的发生率,并评估性别和年龄等人口统计学因素在其病因中的作用。

方法

本研究纳入了2002年至2005年期间在白沙瓦市雷丁夫人医院病理科经组织病理学诊断的525例EPTB病例。记录年龄、性别和活检部位。

结果

女性占优势明显,男女比例为1:2。平均年龄为35岁,70%的患者年龄在15至45岁之间。淋巴结是EPTB最常见的部位,66.4%的病例受累。

结论

育龄期女性的EPTB发病率较高。结核性淋巴结炎是EPTB最常见的形式。女性人群中EPTB的高发病率需要结核病控制项目立即关注。

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