肺结核患者肺部外结核：一项描述性横断面研究。
Extra-pulmonary Tuberculosis among Tuberculosis Patients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study.
机构信息
Department of Internal Medicine, Nepal Police Hospital, Maharajgunj, Kathmandu, Nepal.
Department of Internal Medicine, National Academy of Medical Sciences, Mahaboudha, Kathmandu, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2022 Dec 1;60(256):1026-1029. doi: 10.31729/jnma.7231.
INTRODUCTION
Tuberculosis outside of the lung is extrapulmonary tuberculosis. The diagnosis of extrapulmonary tuberculosis is not easy in a community setting even in district hospitals. Clinical symptoms and radiological diagnosis are effective for the diagnosis of pulmonary and extra-pulmonary cases. The aim of the study is to find out the prevalence of extra-pulmonary tuberculosis among tuberculosis patients visiting a tertiary care centre.
METHODS
This was a descriptive cross-sectional study conducted among the patient visiting a tertiary care centre from August 2019 to January 2020 after taking ethical approval from Institutional Review Committe (Reference number: 86) which observed different clinicoradiological and laboratory features in patients with extrapulmonary tuberculosis to address their respective accuracy and usability in measuring the burden of tuberculosis. The interview was taken for the symptoms, and then radiological and laboratory data were collected. Convenience sampling was used. Point estimate and 95% confidence interval were calculated.
RESULTS
Out of 60 patients with tuberculosis, 39 (65%) (62.83-67.17, 95% Confidence Interval) were diagnosed with extrapulmonary tuberculosis. Among them, 30 (76.9%) were with pleural effusions followed by lymphadenopathy in 9 (23.07%).
CONCLUSIONS
The prevalence of extra-pulmonary tuberculosis was found to be higher as compared to the study done in similar settings.
KEYWORDS
extrapulmonary; pulmonary; tuberculosis.
介绍
肺部以外的结核病为肺外结核病。即使在地区医院，社区环境中肺外结核病的诊断也不容易。临床症状和影像学诊断对肺和肺外病例的诊断均有效。本研究旨在找出在一家三级保健中心就诊的结核病患者中外周性结核病的患病率。
方法
这是一项在 2019 年 8 月至 2020 年 1 月间在一家三级保健中心进行的描述性横断面研究，在获得机构审查委员会（参考编号：86）的伦理批准后，观察了外周性结核病患者的不同临床放射学和实验室特征，以解决其各自在衡量结核病负担方面的准确性和可用性。对症状进行了访谈，然后收集了放射学和实验室数据。使用便利抽样。计算了点估计值和 95%置信区间。
结果
在 60 例结核病患者中，有 39 例（65%）（62.83-67.17，95%置信区间）被诊断为肺外结核病。其中，30 例（76.9%）有胸腔积液，其次是淋巴结病 9 例（23.07%）。
结论
与在类似环境中进行的研究相比，发现外周性结核病的患病率更高。
关键词
肺外；肺；结核。
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