Gavrilenko V S, Khruleva T S
Probl Tuberk. 1996(4):2-4.
Data on the incidence of recurrent respiratory tuberculosis in the Russian Federation from 1978 to 1993 were analysed in 1165 adult patients with recurrence and 2017 tuberculosis-cured patients. In the vast majority of patients (97-98%), steady-state clinical healing of tuberculosis can be achieved with its favourable clinical course and adequate treatment. This is evidenced by comparatively few relapses (6-7 per 100,000 adult persons). Among all varieties of relapses, late recurrences make up 74.7-81.2% and occur on the average 9.7-13.1 years after the completion of complex treatment. Comparison of the incidence of clinical types of pulmonary tuberculosis, used treatment regimens and methods has demonstrated that the clinical course of a late recurrence did not differ from that of the first diagnosed tuberculosis. It is expedient to recognize late recurrence to be essentially a new case of pulmonary tuberculosis. This suggests that the concept of recurrence, the pathogenesis of late recurrence, the form and content of work with registered outpatients should be reviewed.
对1978年至1993年俄罗斯联邦1165例复发性呼吸道结核成年患者和2017例治愈的结核患者的复发性呼吸道结核发病率数据进行了分析。在绝大多数患者（97 - 98%）中，通过良好的临床病程和充分治疗可实现结核病的稳定临床治愈。这一点由相对较少的复发率（每10万成年人中6 - 7例）得以证明。在所有复发类型中，晚期复发占74.7 - 81.2%，平均在综合治疗结束后9.7 - 13.1年出现。对肺结核临床类型的发病率、所用治疗方案和方法进行比较表明，晚期复发的临床病程与首次诊断的结核病并无差异。将晚期复发认定为本质上是肺结核的新病例是适宜的。这表明应重新审视复发的概念、晚期复发的发病机制、对登记门诊患者的工作形式和内容。
