30例胸内结节病随访及治疗探讨

Observations and treatment in 30 cases of intrathoracic sarcoidosis

本文报告了30例胸内结节病平均随访7.3年(6个月～22年)观察结果。病程2年以上者90%10%在2年以内。初诊时53.3%(16/30)为Ⅰ期,36.7%(11/30)为Ⅱ期,10%(3/30)为Ⅲ期,但在末次随访时6例已自愈,9例治愈,Ⅱ期6例,Ⅳ期9例,无Ⅰ期和死亡者,根据结果讨论了胸内结节病的治疗等问题。

The results of long-term follow-up observations for an average of 7.3 years(ranged from 6 months to 22 years)on 30 cases of intrathoracic sarcoidosis are reported.The course of the dise- ase was more than 2 years in 90%(27/30),and less than 2 years in 10%(3/30).At the beginn- ing of the observations,53.3%(16/30)of the patients were in their stage Ⅰ,36.7%(11/30)in stage Ⅱ,and 10%(3/30)in stage Ⅲ.But at the Last follow-up period,6 cases were in spon- taneous remission,9 cases cured,6 cases were in stage Ⅱ and 9 cases in stage Ⅲ,without any case in stage Ⅰ or died.According to these results,the treatment of intrathoracic sarcoidosis is discussed.