Wang H, Li Q, Zhu Y
PLA General Navy Hospital, Beijing.
Zhonghua Jie He He Hu Xi Za Zhi. 1995 Dec;18(6):354-6, 383.
A scheme was devised for semiquantitative description of 79 cases with sarcoidosis using the graphic terminology of International Labour Office and Union International Contre Le Cancer (ILO/CU) for the pneumoconioses. Among 56 patients with stage II, "linear-irregular" categories s t u (50%) and "reticulonodular" categories x y z (28%) predominated while "rounded" categories p q r (22%) were unusual. Among 13 patients with stage III s t u and x y z opacities were found in 38% of patients while p q r only in 23%. The opacities in both stages of sarcoidosis were most severe in the bilateral lower lobes. It was concluded that the traditional method for classification of sarcoidosis was helpful to give the qualitative diagnosis of the disease, but it did not provide objective description of the type and degree of pulmonary involvement. ILO/UC classification was an important supplement of traditional method as ILO/UC could be used to grade the type (linear irregular, rounded and reticulonodular opacities), severity and location of opacities. Therefore, the two methods should be used in combination so as to judge the location, type and severity of intrathoricic sarcoidosis.
设计了一种方案,采用国际劳工组织(ILO)和国际抗癌联盟(UICC)用于尘肺病的图形术语,对79例结节病患者进行半定量描述。在56例Ⅱ期患者中,“线状-不规则”类别s、t、u(占50%)和“网状结节状”类别x、y、z(占28%)占主导,而“圆形”类别p、q、r(占22%)较少见。在13例Ⅲ期患者中,38%的患者出现s、t、u和x、y、z类的肺实质阴影,而p、q、r类仅占23%。结节病两期的肺实质阴影在双侧下叶最为严重。结论是,结节病的传统分类方法有助于对该病进行定性诊断,但它不能对肺部受累的类型和程度提供客观描述。ILO/UICC分类是传统方法的重要补充,因为它可用于对肺实质阴影的类型(线状不规则、圆形和网状结节状阴影)、严重程度和部位进行分级。因此,应将这两种方法结合使用,以判断胸内结节病的部位、类型和严重程度。