亚厘米肺结节的外科诊疗分析

发布时间：2018-04-04 06:38

  本文选题：亚厘米肺结节　切入点：胸腔镜手术　出处：《中国微创外科杂志》2017年01期

【摘要】：目的探讨亚厘米(10 mm)孤立性肺结节(solitary pulmonary nodule,SPN)的临床诊断和外科治疗方法。方法对我院2006年1月~2015年12月手术治疗62例亚厘米SPN进行回顾性分析。术前均行多次胸部CT扫描随访,随访观察时间3~72个月(平均6.8月)。术前胸部CT肺窗测定病变大小,直径≤5 mm 28例,6~9 mm 34例。实性结节17例,半实性结节36例,纯磨玻璃样病变9例。其中56例行术前病变定位。术式包括胸腔镜单纯病变切除或剔除术2例,肺楔形切除术47例,肺段切除术8例,肺叶切除术5例。结果术后病理证实恶性结节54例(87.1%),包括非典型性腺瘤样增生(atypical adenomatous hyperplasia,AAH)和原发恶性肿瘤共49例,转移瘤5例;良性结节8例(12.9%)。结论亚厘米SPN影像学静态特征相对缺乏,需要通过其实质变化及动态观察确定诊疗策略。影像学定位技术有助于胸腔镜术中准确定位,肺叶和亚肺叶切除对亚厘米SPN的诊疗安全有效。
[Abstract]:Objective to investigate the clinical diagnosis and surgical treatment of solitary pulmonary nodule pulmonary (10 mm).Methods from January 2006 to December 2015, 62 cases of subcentimeter SPN were analyzed retrospectively.Multiple chest CT scans were performed before operation, and the follow-up time was 3 ~ 72 months (mean 6.8 months).The size of the lesion was measured by CT before operation. The diameter was 鈮，

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