目的探讨当代大学生学校结核病疫情特点和病例特征。方法回顾2010-2015年本地大学发现、登记并治疗的大学生结核病病例共计89例,从临床可疑症状和治疗分类以及接触史3个方面进行研究,重点探索大学生这一特殊群体无症状结核病病例的构成现状以及治疗分类和接触史方面的规律特征。结果纳入研究的大学生结核病病例中无症状结核病病例占40.45%,且近年大学生无症状结核病的发生比例与10年前的调查结果相比较有上升趋势。大学生初治病例和复治病例构成比比较,初治病例高于复治病例(χ~2=113.28,P<0.01)。有同宿舍或同班接触史的病例和无同宿舍或同班接触史的病例比较,有接触史病例比例高于无接触史病例(χ~2=41.55,P<0.01)。大学生结核病病例男性比例高于女性(χ~2=30.76,P<0.01)。结论当代大学生无症状结核病病例在全部病例中占有较高的比例,较10年前有明显的上升趋势。大学生结核病病例男性比例高于女性,初治病例比例高于复治病例,有校内接触史病例比例高于无校内接触史病例。 Objective To explore the characteristics and case characteristics of tuberculosis in contemporary college students. Methods A retrospective review of 89 cases of tuberculosis cases among university students discovered, registered and treated in local universities from 2010 to 2015 was conducted. Three cases of clinical suspicious symptoms, treatment classification and exposure history were studied, and the constitution of asymptomatic tuberculosis cases The status quo and the classification of treatment and history of the contact characteristics of the law. Results The percentage of asymptomatic tuberculosis among college students with tuberculosis accounted for 40.45%. And the incidence of asymptomatic tuberculosis among college students in recent years is on an upward trend compared with that of 10 years ago. Compared with the initial treatment group and the treatment group, the initial treatment group was higher than the treatment group (χ ~ 2 = 113.28, P <0.01). There was a higher proportion of cases with history of contact than those without history of dormitory or same class with no history of contact with dormitory or same class (χ ~ 2 = 41.55, P <0.01). The prevalence of tuberculosis among college students was higher than that of women (χ ~ 2 = 30.76, P <0.01). Conclusions The prevalence of asymptomatic TB among contemporary college students occupies a high proportion in all cases, a clear upward trend compared with that of 10 years ago. The prevalence of tuberculosis among college students was higher than that of women, the proportion of newly diagnosed cases was higher than that of retreatment cases, and the proportion of cases with history of school contact was higher than that without school history of exposure.