[目的]评价东山县2005—2008年实施结核病项目的实施效果。[方法]收集并分析项目期间登记资料和报表等。[结果]4年累计接诊可疑肺结核1345例,其中综合医疗机构应转诊704例,实际到位625例,总体到位率88.8%。检出活动性肺结核578例,患病率70.68/10万,其中涂阳肺结核337例,初治涂阳308例;满2个月痰菌转阴率为91.7%,治愈率95.1%;复治涂阳肺结核29例,满2个月痰菌转阴率81.5%,治愈率93.1%。[结论]东山县结核病控制项目初见成效,为控制工作的可持续发展奠定了基础。 [Objective] To evaluate the implementation effect of TB program in Dongshan County during 2005-2008. [Method] Collect and analyze registration data and reports during the project. [Results] A total of 1345 cases of suspicious pulmonary tuberculosis were admitted in 4 years, of which 704 cases were referred to general medical institutions, 625 cases were actually in place and the overall rate was 88.8%. 578 cases of active pulmonary tuberculosis were detected, the prevalence was 70.68 / 100 000, of which 337 cases were smear-positive pulmonary tuberculosis and 308 cases were smear-positive first. The sputum negative conversion rate was 91.7% over 2 months and the cure rate was 95.1% Smear positive pulmonary tuberculosis in 29 cases, over two months sputum negative conversion rate of 81.5%, the cure rate of 93.1%. [Conclusion] The initial success of Dongshan TB control project laid the foundation for the sustainable development of control work.