Le Gales C, Le Faure C, Hirsch A
Rev Pneumol Clin. 1987;43(1):1-7.
We present the results of a study conducted in 1984 in 31 DDASS centres which enabled us to constitute a standardized sample representative of all cases of tuberculosis currently notified in France. An analysis of the patients' characteristics showed that cases of tuberculosis were discovered in equal numbers in three branches of medicine: industrial medicine and welfare centres, general medicine including (to a very small extent) private specialists, and hospital medicine (in-patients and out-patients). Most of the subjects in our study had clinical signs of tuberculosis at the time of diagnosis, and it was these signs that prompted them to consult. About 28% of the cases (25% in an undifferentiated population) were detected by systematic radiography, and 25 to 50% of these patients (45-66% for the whole of the population notified) were contagious. From the results of this study, the number of patients detected by systematic radiography in 1982 was estimated at approximately 3,000; of these, 800 to 1,580 might have been contagious. In that same year, 9 million systematic radiological examinations were performed, which means that the yield of these examinations was 9 to 17.6 in 100,000 for contagious pulmonary tuberculosis and 34 in 100,000 for all cases of pulmonary tuberculosis.
我们展示了1984年在31个DDASS中心开展的一项研究结果，该研究使我们能够构建一个标准化样本，该样本代表了法国目前通报的所有结核病病例。对患者特征的分析表明，结核病病例在医学的三个分支中发现的数量相等：工业医学与福利中心、包括（在非常小的程度上）私人专科医生的普通医学以及医院医学（住院患者和门诊患者）。我们研究中的大多数受试者在诊断时具有结核病的临床体征，正是这些体征促使他们前来咨询。约28%的病例（未分化人群中为25%）通过系统的X线检查发现，这些患者中有25%至50%（通报的整个人口中为45%-66%）具有传染性。根据这项研究的结果，1982年通过系统X线检查发现的患者数量估计约为3000人；其中，800至1580人可能具有传染性。同年，进行了900万次系统的放射学检查，这意味着这些检查对于传染性肺结核的检出率为每10万人中有9至17.6例，对于所有肺结核病例的检出率为每10万人中有34例。
