目的:了解嵊州市学生肺结核发现情况,为预防和控制学校肺结核疫情发生提供依据。方法:采取描述性统计方法对嵊州市2005-2011年传染病网络直报系统报告的学生肺结核发病资料开展分析。结果:2005-2011年全市共报告学生活动性肺结核病例151例,其中涂阳病例33例,涂阴病例109例,未痰检病例9例;因症就诊为主要发现方式占71.94%;接触者筛查发现占20.86%,健康体检及其他发现占7.20%;存在就诊延误,总就诊延误率为34.44%,涂阳病例就诊延误率为54.55%;发病男生多于女生,男女性别比为1.56∶1;15岁以上年龄高中组学生肺结核报告发病数为主,占全部学生数的77.12%;每年3-5月为病例发现高峰期。结论:嵊州市学生肺结核以因症就诊发现病例为主,其次为接触者筛查,存在就诊延误,应加强学生结核病健康教育,提高可疑肺结核相关知识的知晓率,做好新生入学结核病筛查及体检工作,做到早发现,防制学校肺结核疫情的发生。 OBJECTIVE: To understand the status of pulmonary tuberculosis in Shengzhou students and provide the basis for preventing and controlling the outbreak of tuberculosis in schools. Methods: Descriptive statistics were used to analyze the incidence of tuberculosis among students reported from the network reporting system of infectious diseases in Shengzhou City from 2005 to 2011. Results: A total of 151 active tuberculosis cases were reported in the city from 2005 to 2011, of which 33 cases were smear positive, 109 cases smear negative, 9 cases not sputum. 71.4% Screening accounted for 20.86%, physical examination and other findings accounted for 7.20%; there is delay in treatment, the total treatment delay rate was 34.44%, smear positive cases delayed treatment was 54.55%; incidence of boys than girls, male to female ratio was 1.56: 1. The number of TB cases reported by high school students over the age of 15 was mainly 77.12% of the total number of students. The peak period of cases was found from March to May each year. CONCLUSIONS: In Shengzhou students, tuberculosis is mainly found in symptomatic treatment, followed by contact screening, delayed in treatment, health education of TB students should be strengthened, awareness of suspected tuberculosis should be improved, Physical examination, so early detection, prevention and control of school tuberculosis epidemic occurred.