Sheldon C D, Probert C S, Cock H, King K, Rampton D S, Barnes N C, Mayberry J F
London Chest Hospital, UK.
Tuber Lung Dis. 1993 Feb;74(1):12-5. doi: 10.1016/0962-8479(93)90061-2.
A retrospective epidemiological study of abdominal tuberculosis in a defined population in the London Borough of Tower Hamlets was conducted between January 1985 and 31 December 1989. The total population of 163,900 included a mean of 20,732 Bangladeshis. Of the 13 cases diagnosed 8 were Bangladeshi, with equal involvement of the peritoneum and intestine. The crude incidence in the Bangladeshi community was 7.7 cases/10(5)/year, which was significantly higher than that in Europeans (0.3 cases/10(5)/year, chi 2 with Yate's correction = 14.0 P < 0.001). The highest age-specific incidence was amongst those aged 16-20 years and 41-45 years. Most patients had a laparotomy or peritoneal biopsy to confirm the diagnosis. The response to therapy was good. Only 62% of cases were notified. This study confirms the importance of tuberculosis in the differential diagnosis of abdominal symptoms in Bangladeshi patients.
1985年1月至1989年12月31日期间，在伦敦塔哈姆雷特区特定人群中开展了一项腹部结核的回顾性流行病学研究。该地区总人口为163,900人，其中平均有20,732名孟加拉人。在确诊的13例病例中，有8例为孟加拉人，腹膜和肠道受累情况相同。孟加拉人群体中的粗发病率为7.7例/10⁵/年，显著高于欧洲人（0.3例/10⁵/年，经Yate校正的卡方检验=14.0，P<0.001）。年龄别发病率最高的是16 - 20岁和41 - 45岁的人群。大多数患者通过剖腹手术或腹膜活检来确诊。治疗反应良好。仅62%的病例得到报告。这项研究证实了结核病在孟加拉患者腹部症状鉴别诊断中的重要性。
