文章摘要
杨松,王乐乐,李同心,严晓峰,唐神结.肺外结核流行病学研究进展[J].中华流行病学杂志,2021,42(1):171-176
肺外结核流行病学研究进展
Progress in research of epidemiology of extra pulmonary tuberculosis
收稿日期:2020-08-14  出版日期:2021-01-22
DOI:10.3760/cma.j.cn112338-20200814-01067
中文关键词: 肺外结核;定义;流行病学特征;危险因素
英文关键词: Extra pulmonary tuberculosis;Definition;Epidemiological characteristic;Risk factor
基金项目:重庆市科学技术委员会技术创新与应用示范(社会民生类)资助(cstc2018jscx-msybX0062);2019年重庆市科卫联合医学科研项目(2019MSXM065)
作者单位E-mail
杨松 重庆市公共卫生医疗救治中心结核病研究室 400036  
王乐乐 重庆市公共卫生医疗救治中心结核病研究室 400036  
李同心 重庆市公共卫生医疗救治中心结核病研究室 400036  
严晓峰 重庆市公共卫生医疗救治中心结核病研究室 400036 2429918342@qq.com 
唐神结 首都医科大学附属北京胸科医院, 北京市结核病胸部肿瘤研究所, 北京 101149 tangsj1106@vip.sina.com 
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中文摘要:
      目前肺结核和肺外结核仍广泛流行于全球,肺外结核成为研究热点之一,肺外结核发病率及其与结核病的构成比发生了较大变化,全球不同国家、地区差异较大,不同研究报道性别、不同年龄组间的分布结果也不完全一致,甚至出现矛盾性研究结果。肺外结核的发病率和患病率可能受到低估,可能与肺外结核重视程度不够、确诊手段不充分和确诊率低等多因素有关,使其治愈率始终低于肺结核,给全球结核病疫情控制带来挑战。本文查阅了近年来肺外结核流行病学有关文献,分别从肺外结核定义、全球肺外结核流行特征、不同类型肺外结核的相互关系、肺外结核风险增加因素、分析及建议5个方面进行了综述,供同道借鉴。
英文摘要:
      Currently, tuberculosis, including both pulmonary tuberculosis (PTB) and extra pulmonary tuberculosis (EPTB) still widely spread worldwide. EPTB has become one of research hotspots, changes in the incidence of EPTB and its composition in TB have occurred, the situation varied with country and region. The age and gender distributions of EPTB cases were different, even contradicted, indicated by different studies. The incidence rate and prevalence rate of EPTB might be underestimated due to insufficient attention paid to EPTB, inadequate diagnostic methods and low diagnosis rate. The cure rate of EPTB is always lower than PTB, posing challenges to global TB control. This paper summarizes the progress in research of EPTB epidemiology in recent years in terms of EPTB definition, epidemiological characteristics of EPTB in the world, correlation of different EPTB and related risk factors to provide reference for the prevention and control of EPTB.
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