肺结核活动性判断规范及临床应用专家共识

Expert consensus on a standard of activity judgment of pulmonary tuberculosis and its clinical implementation

我国肺结核疫情十分严峻,确诊肺结核的“金指标”是病原学检查,但对于病原学检查阴性的初诊肺结核患者,其活动性判断缺乏规范.另外,肺结核治疗后的活动性评价亦面临上述问题.本共识介绍了目前用于肺结核活动性判断的评价方法,提出了临床综合评价的规范,指出了目前活动性判断及临床应用存在的问题,并对其未来进行了展望.

The epidemic situation of pulmonary tuberculosis in China is challenging.Pathogenic test of Mycobacterium tuberculosis is the"golden indicator"for the diagnosis of pulmonary tuberculosis,but the activity judgment becomes difficult when the etiological examination is negative.In addition,evaluation of activity of pulmonary tuberculosis post-treatment also encounters the pathogenic problem.This expert consensus introduces the current evaluation methods for activity judgment of pulmonary tuberculosis,and sets standards of clinical comprehensive evaluation of activity.Meanwhile,it points out the existing problems of activity judgment and its clinical implementation and discusses its future development.