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首页> 外文期刊>The Indian journal of tuberculosis >A retrospective cohort study of 756 cases of abdominal tuberculosis: Two decades single centre experience
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A retrospective cohort study of 756 cases of abdominal tuberculosis: Two decades single centre experience

机译：腹部肺结核756例回顾性队列研究：二十年单中心经验

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摘要

Aim/objective: India accounts for the highest tuberculosis burden in the world, and abdominal tuberculosis has been an endemic surgical and gastroenterological problem. Aim of this study is to present our two decades experience on abdominal (gastrointestinal) tuberculosis. Method: 756 patients, who received standard antituberculous treatment with or without surgical treatment with the diagnosis of abdominal tuberculosis from January 1996 and May 2014, were reviewed retrospectively. On the basis of clinical presentation, four groups of clinical presentation were identified and various diagnostic measures used in different groups were studied. Numeric values were determined as percent or mean ± standard deviation. Kruskal-Wallis test was used for quantitative results and chi-square test was used for qualitative results between groups, p value of less than 0.05 was considered to indicate the statistical significance. Results: The duration of symptoms was variable in this study. Out of 756 patients, 64 patients gave definite past history of tuberculosis. Most of the patients in the acute pain abdomen group required surgery while most patients in chronic pain group responded well to medical management. There was significant difference in mortality among the four groups (p = 0.025). Conclusion: Prognosis seems significantly related to the severity of disease, with graver prognosis and less symptomatic improvement in more seriously ill presentations.
机译：目标/目标：印度占世界结核病的最高负担，腹部结核病是流行的外科和胃肠病理问题。本研究的目的是展示我们对腹部（胃肠道）结核病的二十几年的经验。方法：756名患者接受了与1996年1月和2014年1月的腹部结核病诊断或未手术治疗的标准抗核使生治疗患者。在临床介绍的基础上，确定了四组临床介绍，并研究了不同组中使用的各种诊断措施。数值确定为百分比或平均值±标准偏差。 Kruskal-Wallis试验用于定量结果，并且Chi-Square试验用于组之间的定性结果，P值小于0.05表示统计学意义。结果：症状的持续时间在本研究中是可变的。在756例患者中，64名患者致以明确的结核病历史。大多数患者在急性疼痛腹部组需要手术，而大多数慢性疼痛组患者对医学管理作出良好反应。四组死亡率有显着差异（P = 0.025）。结论：预后似乎与疾病的严重程度显着相关，具有坟墓预后和更少的症状性提高更严重的演示。

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