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中文期刊篇目索引

摘要

本篇出處 胸腔醫學 12:3 民86.09 頁99-104
篇名 臺灣地區的肺外結核
作者 余明治 ; 索任 ; 白冠壬 ; 江振源 ; 羅嬌芳 ; 林道平
中文摘要        臺灣地區的肺外結核雖並不少見,但卻常被忽略,更缺乏完整的流行病學資料。 本研究即根據全國結核病資料庫,選取於民國75年1月1日到84年12月31日間完成中心登記 的所有結核病患資料,分析各類肺外結核病患之人數、年齡及性別,並與同時期肺結核病 患資料進行比較,以瞭解臺灣地區肺外結核的流行概況。結果顯示:這十年間,肺外結核 病人數為9,453人,佔登記結核病患總數的10.3%;且每年所佔之比例,並無明顯消長。肺 外結核侵犯的位置,以肋膜最為常見,佔72.1%、依序則為淋巴9.5%、骨及關節6.4%、泌尿 及生殖系統3.8%。肺外結核病患的年齡分佈明顯較肺結核病患為輕:淋巴炎中有60.6%發生 於35歲以下的病患;腦膜炎好發於15歲以下及65歲以上的病患;其餘各類肺外結核則仍皆 較好發於中、老年病患。性別方面,淋巴結核病患中,女性為男性的1.6倍;皮膚及眼的侵 犯中,男女約各佔一半;其他各類肺外結核皆以男性病患居多。但除肋膜炎外,其餘各類 肺外結核之女性所佔比例,皆較肺結核病患中女性所佔比例為高。我們認為努力加強宣導 ,並積極的運用全國衛生醫療資源,全面促進結核病例的正確通報,才能建立臺灣地區肺 外結核完整的流行資料,並進而落實本土的防癆工作。
英文摘要        Extrapulmonary tuberculosis (TB) is not an uncommon, but often neglected, disease in Taiwan. To understand the epidemiological situation of extrapulmonary TB in Taiwan, the central registration data in the National Tuberculosis Data Base from January 1, 1986, through December 31, 1995, were investigated. The results showed that there were 9,453 extrapulmonary TB cases in this 10-year period, accounted for 10.3% of totally registered TB cases. Annual rates of extrapulmonary TB patients in all TB patients remain constant during this period. The most frequently encountered extrapulmonary TB was pleura (72.1%), followed by lymph nodes (9.5%), osteoarticular systems (6.4%), and urinary and genital systems (3.8%). The age distribution of extrapulmonary TB patients is younger than that of pulmonary TB patients. However, extrapulmonary TB patients still often affected the middle-and-old age groups, except 60.6% lymphadenitis cases were younger than 35 years old and meningitis cases often affected young and old age groups. Male patients predominated except for lymph nodes and skin or eye involvement. However, except for the pleurisy, the proportions of female patients in extrapulmonary TB group are all higher than that of pulmonary TB group. To set up the detailed epidemiological data of extrapulmonary TB in Taiwan, propagating the information of national TB control program and using the resources of national healthcare to reinforce the reporting system can not be overemphasized。