Jakubowski A, Elwood R K, Enarson D A
Respiratory Division, Vancouver General Hospital, University of British Columbia.
CMAJ. 1987 Nov 15;137(10):897-900.
We reviewed all 341 cases of abdominal tuberculosis reported in Canada between 1970 and 1981. Over the study period abdominal tuberculosis accounted for a stable proportion (0.8%) of all reported cases of tuberculosis in Canada. Its incidence declined steadily. It was more common in women, in native Indians and in people born in Asia. Detailed records of the 55 cases reported to Statistics Canada from British Columbia and of an additional 31 cases not reported to Statistics Canada (usually because they involved concomitant disease elsewhere, notably the lungs) were studied. Five of the 55 cases reported to Statistics Canada had been reported incorrectly. Of the 81 cases in British Columbia 51% involved peritonitis, 21% ileocecal disease, 20% anorectal disease, 10% mesenteric lymphadenitis, 1% disease of the sigmoid colon and 1% disease of the liver. The rate of bacteriologic confirmation was low (51%).
我们回顾了1970年至1981年间加拿大报告的所有341例腹部结核病例。在研究期间，腹部结核在加拿大所有报告的结核病例中所占比例稳定（0.8%）。其发病率稳步下降。该病在女性、原住民印第安人和出生在亚洲的人群中更为常见。我们研究了向加拿大统计局报告的来自不列颠哥伦比亚省的55例病例的详细记录，以及另外31例未向加拿大统计局报告的病例（通常是因为它们伴有其他部位的疾病，尤其是肺部疾病）。向加拿大统计局报告的55例病例中有5例报告有误。在不列颠哥伦比亚省的81例病例中，51%涉及腹膜炎，21%涉及回盲部疾病，20%涉及肛门直肠疾病，10%涉及肠系膜淋巴结炎，1%涉及乙状结肠疾病，1%涉及肝脏疾病。细菌学确诊率较低（51%）。
