摘要目的 初步探讨肺外结核性创面流行病学特点和规律,为临床研究提供可靠数据.方法 对笔者单位2010年1月-2012年12月收治的肺外结核性创面患者的性别、年龄、民族、家庭背景、卡介苗接种情况、原发病灶、外伤史这几项资料进行回顾性分析,总结其规律及特点. 结果 5 863例肺外结核病患者中,235例出现结核性创面,占4.0％.其中男139例、女96例,男女之比为1.4∶1.0.年龄1～87(37±18)岁,其中大于15岁且小于或等于30岁青壮年患者构成比最大(100例,42.6％).多数患者为汉族;仅有11例患者为少数民族,占4.7％.患者中163例来自农村,占69.4％;72例来自城镇,占30.6％.卡介苗接种率为13.6％(32例).原发病灶中,以周围淋巴结结核为主,共112例,占47.7％,其中又以颈部淋巴结结核为主(99例,88.4％).21例(男19例、女2例)患者近期有车祸等外伤史. 结论 结核性创面有一定的发病率,并非罕见,以农村地区青壮年人群多发,患者的卡介苗接种率较低,颈部淋巴结结核为主要原发病灶.

abstractsObjective To investigate the epidemiological characteristics and patterns of extra-pulmonary tuberculosis wounds in order to provide reliable data for further clinical research.Methods Records of patients with extra-pulmonary tuberculosis wounds hospitalized from January 2010 to December 2012 were retrospectively analyzed,including gender,age,nationality,family background,Bacille CalmetteGuerin (BCG) vaccination,primary lesion,and history of injury.Results Tuberculosis wounds were found in 235 patients among 5 863 patients with extra-pulmonary tuberculosis,accounting for 4.0％.Among the patients with tuberculosis wounds,there were 139 male and 96 female,and the ratio of male to female was 1.4∶ 1.0.The age of patients ranged from 1 to 87 (37 ± 18) years old,and the highest incidence occurred in patients older than 15 and younger than or equal to 30 years old (100 cases,accounting for 42.6％).Most patients with tuberculosis wounds were Han,and only 11 patients were minorities,accounting for 4.7％.Tuberculosis wounds were more prevalent in rural areas (163 cases,accounting for 69.4％),with a smaller number in urban areas (72 cases,accounting for 30.6％).The BCG vaccination rate was 13.6％.The main primary lesions were lymph node infection (112 cases,accounting for 47.7％),among which involvement of cervical lymph nodes accounted for the highest ratio (99 cases,accounting for 88.4％).Twenty-one patients had the traffic accident etc.injury history recently,among which 19 were male and 2 were female.Conclusions Tuberculosis wound,with certain incidence,was more frequently found among young adults from rural areas.The BCG vaccination rate was low among the patients and the main primary lesion was tuberculosis of cervical lymph nodes.