上海市肺外结核的流行病学分析

目的 了解上海市肺外结核的流行病学特征，探讨对其进行监测的意义。方法 根据１９９６￣１９９９年上海市１０个市区所有肺外结核新登记病例资料，分析肺外结核的年龄、性别、患病部位的分布及流行趋势和死亡情况。结果 上海市１９９６￣１９９９年肺外结核新登记率为４．６３／１０万￣５．７８／１０万，肺外结核占全结核的９．７％￣１１．９％，肺外结核死亡占全结核死亡的１４．１％￣１７．６％。肺外结核中以周围淋巴结核

Epidemiological analysis of extrapulmonary tuberculosis in Shanghai

OBJECTIVES: To find out the epidemiological characteristics of extrapulmonary tuberculosis (TB) in Shanghai, and to explore value of this surveillance. METHODS: Distribution of extrapulmonary TB for sex, age and suffering site 1996-1999 were analyzed. In addition, its incidence trend and mortality were also investigated. All registered cases from ten urban districts of Shanghai were included. RESULTS: The new registration rates of extrapulmonary TB 1996-1999 were 4.65-5.78/100,000. The proportion of extrapulmonary TB to all TB was 9.7%-11.8%. The extrapulmonary TB accounted for 14.1%-17.6% of all death due to TB. The rankings of extrapulmonary TB were as follows: lymph node TB (38.3%), bone and joint TB (19.9%), urinary and genital TB (16.7%), intestine and peritoneum TB (9.1%), cerebral and nervous TB (6.4%). The sex ratio of male to female was 1 to 1.35. The new registration rates of extrapulmonary TB increased with age except that of cerebral and nervous TB was the highest in middle and young age group. CONCLUSIONS: Surveillance on extrapulmonary TB is an important part of TB surveillance, with significant value for TB control.