结核病现在仍然是全世界最重要的传染病。虽然非呼吸系统结核病(NRT)的发病频度比呼吸系统低,在英格兰和威尔士只占公布的25％,但没有以相同的速率下降。NRT的很多部位,除胸膜腔以外,是表浅淋巴结(46％)、肾与关节(15％)、生殖泌尿道(14％)和腹部(11％),常累及一个以上的部位。NRT患者可被看做无传染性。处理上有两个方面值得考虑:化疗方案和患病解剖部位的独特性问题。 由于做了足够数量的对照试验,呼吸系统结核的化疗已有飞速发展。这些患者或多或少属于相似人群,由查痰和胸部照相即容易监测化疗期间的进展。相反,NRT包括不同解剖部位的疾病,各有自己的机制和其他情况,对治疗的反应难以评定。很少发表各部位疾病化疗的试验,但脊柱和表浅淋 Tuberculosis is still the most important infectious disease in the world. Although non-respiratory tuberculosis (NRT) occurs less frequently than the respiratory system, it accounts for only 25% of the published rate in England and Wales, it does not decrease at the same rate. Many parts of the NRT, other than the pleural cavity, are superficial lymph nodes (46%), kidneys and joints (15%), genitourinary tract (14%) and abdomen (11%), often involving more than one site. NRT patients can be considered as non-contagious. There are two aspects to be considered for consideration: the uniqueness of the chemotherapy regimen and diseased anatomy. Due to a sufficient number of controlled trials, chemotherapy for respiratory tuberculosis has been rapidly developed. These patients are more or less likely to be in similar populations and the progress during chemotherapy is easily monitored by sputum aspiration and chest photography. In contrast, NRT includes different anatomical conditions, each with its own mechanisms and other conditions, and the response to treatment is difficult to assess. Rarely published in various parts of the disease chemotherapy test, but the spine and superficial shower