关键词: 结核/诊断, 医院,综合

Abstract: Objective To improve the diagnosis and treatment of extrapulmonary tuberculosis (EPT) through clinical analysis on 101 EPT cases.Methods The diagnosis and treatment situation of EPT patients treated in Shanghai Fifth People’s Hospital,from January,1994 to January,2001 were studied retrospectively.Results The total number of EPT patients were 101,the most patients were old people (33.7%).The proportion of EPT overo all tuberculosis (TB) was 8.3%～20.2% and the mean rate was 12.8%±4.6%.The sites of TB primarily affected were the lymphadenitis of the neck (42.6%),abdominal cavity (13.9%) and kidney (12.9%).The final diagnosis confirmed by pathological findings,bacteriology test and diagnostic treatment and follow up was 69.3% (70),15.8% (16) and 14.9% (15) respectively.The number of patients with delayed diagnosis were 45 (44.6%).62 (61.4%) of the cases received standard chemotherapy and 39 (38.6%) received unstandard treatment.The cure rate of patients who receive standard chemotherapy was 100%.The rate of patients who need to receive treatment again was 25.6%.Conclusion The diagnose and treatment of EPT in general hospital should be paid attentions to ensure the patients be diagnosed and treated timely and by standardized treatment.

Key words: Tuberculosis,extrapulmonary, General hospital