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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (9): 769-773.doi: 10.3969/j.issn.1000-6621.2014.09.005

• 专家论坛 • 上一篇    下一篇

我国结核病临床诊治的回顾与展望

  

  • 收稿日期:2014-07-08 出版日期:2014-09-10 发布日期:2014-11-28
  • 通信作者: 唐神结 E-mail:tangsj1106@sina.com

Review and prospect for tuberculosis diagnosis and treatment in China

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  1. Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research, Beijing 101149, China
  • Received:2014-07-08 Online:2014-09-10 Published:2014-11-28
  • Contact: TANG Shen-jie E-mail:tangsj1106@sina.com

关键词: 结核/诊断, 结核/治疗, 回顾性研究

Abstract: The level of diagnosis of tuberculosis in China has been improved significantly which has experien-ced from Ziehl Neelsen microscope in sputum smear and chest X-ray to various new diagnosis methods in clinical application treatment for tuberculosis has changed from the beginning of sanatoria treatment to the emergence of streptomycin and rifampicin, which has brought about a new era of the short course chemotherapy. In the future, in order to improve the diagnostic level, we should popularize new rapid diagnostic techniques and methods in the diagnosis of tuberculosis as soon as possible, including LED fluorescence microscope, BACTEC MGIT 960 culture system, Xpert Mtb/RIF assay, linear probe assay (LPA), gene chip, simultaneous amplification test (SAT), loop mediated isothermal amplification (LAMP), and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Meanwhile, future therapy should be focused on the research of new anti-TB drugs and targets, immunotherapy, therapeutic vaccines, interventional treatment, surgical treatment, and nanoparticle directed therapy to improve the cure rate at last.

Key words: Tuberculosis/diagnosis, Tuberculosis/therapy, Retrospective studies