Arens F J
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:596-602.
12.8 millions roentgenograms, 288,000 of which showed suspicious lesions, were made during the past 25 years by the Tuberculosis Committee of Rheinland-Westfalen. They were analysed with the view of finding whether and to what extent the features of tuberculosis had changed during this period. Although severe tertiary forms of the disease had not entirely disappeared, minimal asymptomatic lesions now tended to predominate when first diagnosed--evidence of the valuable contribution made by mass radiography towards the eradication of tuberculosis. However, the picture changes somewhat if the extent of the tuberculous process is related to the number of patients in need of treatment including cases of re-activation. These figures have remained remarkably constant, viz.: the percentage of cases of unilateral tuberculosis localized to one lobe was 50-54%, of bilateral tuberculosis confined to one lobe was 22-25%; the figures for unilateral and bilateral tuberculosis involving more than one lobe were 10-13 and 10-14% respectively. The type of tuberculosis discovered during voluntary mass radiography in Rheinland-Westfalen do not yet signal an end to the proven methods of tuberculosis control.
在过去25年中，莱茵兰-威斯特法伦州结核病委员会共拍摄了1280万张X光片，其中28.8万张显示有可疑病变。对这些片子进行分析，目的是查明在此期间结核病的特征是否以及在多大程度上发生了变化。尽管严重的三期结核病形式尚未完全消失，但首次诊断时，无症状的轻微病变现在往往占主导地位——这证明了大规模X光检查对结核病根除所做出的宝贵贡献。然而，如果将结核病变的范围与包括复发病例在内的需要治疗的患者数量联系起来，情况会有所不同。这些数字一直保持相当稳定，即：单侧结核病局限于一个肺叶的病例百分比为50 - 54%，双侧结核病局限于一个肺叶的为22 - 25%；单侧和双侧结核病累及一个以上肺叶的数字分别为10 - 13%和10 - 14%。在莱茵兰-威斯特法伦州自愿进行的大规模X光检查中发现的结核病类型，尚不意味着已证实的结核病控制方法可以终止。
