Monie R D, Hunter A M, Rocchiccioli K M, White J P, Campbell I A, Kilpatrick G S
Br Med J (Clin Res Ed). 1982 Aug 7;285(6339):415-8. doi: 10.1136/bmj.285.6339.415.
In a retrospective survey of the management of extrapulmonary tuberculosis lymph node and genitourinary tuberculosis were found more commonly than bone and joint or gynaecological disease. Only 29% of patients received 18 moths' chemotherapy while 31% received nine to 12 months' treatment with rifampicin and isoniazid regimens and 34% had short-course chemotherapy with other regimens. Five patients were not offered any chemotherapy after diagnosis, and in five patients the diagnosis was overlooked because of administrative errors. One patient died from tuberculosis (renal). Poor drug compliance appeared less of a problem than in pulmonary tuberculosis. Only 14% of patients had their disease managed solely by consultants who were not specialists in chest disease. Liaison with a chest consultant did not necessarily ensure chemotherapy for 18 moths.
在一项关于肺外结核管理的回顾性调查中，发现淋巴结结核和泌尿生殖系统结核比骨关节结核或妇科疾病更为常见。只有29%的患者接受了18个月的化疗，而31%的患者接受了利福平和异烟肼方案9至12个月的治疗，34%的患者采用其他方案进行短程化疗。5名患者在诊断后未接受任何化疗，5名患者因管理失误而被漏诊。1名患者死于结核病（肾脏）。与肺结核相比，药物依从性差似乎不是一个大问题。只有14%的患者仅由非胸部疾病专科的顾问医生进行治疗。与胸部疾病顾问医生联系并不一定能确保进行18个月的化疗。
