本文選題：亞厘米肺結(jié)節(jié)　切入點(diǎn)：胸腔鏡手術(shù)　出處：《中國微創(chuàng)外科雜志》2017年01期

【摘要】：目的探討亞厘米(10 mm)孤立性肺結(jié)節(jié)(solitary pulmonary nodule,SPN)的臨床診斷和外科治療方法。方法對我院2006年1月~2015年12月手術(shù)治療62例亞厘米SPN進(jìn)行回顧性分析。術(shù)前均行多次胸部CT掃描隨訪,隨訪觀察時(shí)間3~72個(gè)月(平均6.8月)。術(shù)前胸部CT肺窗測定病變大小,直徑≤5 mm 28例,6~9 mm 34例。實(shí)性結(jié)節(jié)17例,半實(shí)性結(jié)節(jié)36例,純磨玻璃樣病變9例。其中56例行術(shù)前病變定位。術(shù)式包括胸腔鏡單純病變切除或剔除術(shù)2例,肺楔形切除術(shù)47例,肺段切除術(shù)8例,肺葉切除術(shù)5例。結(jié)果術(shù)后病理證實(shí)惡性結(jié)節(jié)54例(87.1%),包括非典型性腺瘤樣增生(atypical adenomatous hyperplasia,AAH)和原發(fā)惡性腫瘤共49例,轉(zhuǎn)移瘤5例;良性結(jié)節(jié)8例(12.9%)。結(jié)論亞厘米SPN影像學(xué)靜態(tài)特征相對缺乏,需要通過其實(shí)質(zhì)變化及動(dòng)態(tài)觀察確定診療策略。影像學(xué)定位技術(shù)有助于胸腔鏡術(shù)中準(zhǔn)確定位,肺葉和亞肺葉切除對亞厘米SPN的診療安全有效。
[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，

本文編號(hào)：1708799