孤立性肺结节的良恶性鉴别诊断进展  

Advance of Differential Diagnosis between Benign and Malignant Solitary Pulmonary Nodule

作　　者：秦卫[1] 张爱平[1] 

机构地区：[1]南京医科大学附属南京第一医院心胸外科,南京210006

出　　处：《中国胸心血管外科临床杂志》2011年第2期153-156,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：孤立性肺结节(solitary pulmonary nodule,SPN)是指直径<30 mm的肺内结节,多于体检或因其他疾病在医院检查时发现,患者无其他肺部病变相对应的症状和体征,因而早期很难确定其性质。SPN存在一定的恶性概率,早期诊断成为影响预后的关键,如何鉴别其良恶性是临床诊治的难题之一。仅仅根据SPN的大小、特征,难以作出准确的判断。近年来,随着新型纤维支气管镜、高分辨率CT、胸腔镜技术的发展,为临床上鉴别SPN的良恶性提供了帮助,现对SPN鉴别诊断方面的进展进行综述。Diagnosis and treatment of solitary pulmonary nodule （SPN,less than 30 mm in diameter） has been a formidable problem in clinical work.It is often detected in medical examination or other disease examinations by chance.There are no corresponding signs and symptoms of SPN except those on the imaging,so it is difficult to make a correct diagnosis as early as possible.Literature shows that there is a certain probability of malignant SPN,so early correct diagnosis is the key factor in deciding the prognosis and appropriate treatment.With the accumulation of clinical experiences,the development of new fiberoptic bronchoscopy,high-resolution CT,and video-assisted thoracoscopic surgery,as well as the evolution of some invasive examination technologies,it is less difficult in distinguishing benign from malignant SPN than ever before.In this article,we will make a comprehensive review on the development in the aspect of differential diagnosis of SPN.

关 键 词：孤立性肺结节 鉴别诊断 预后 

分 类 号：R655.3[医药卫生—外科学]