112例孤立性肺结节的诊治分析  

Diagnosis and surgical treatment of solitary pulmonary nodules in 112 cases

作　　者：李玮[1] 任华[1] 张成伟[1] 牛中喜[1] 苏立伟[1] 朱金如[1] 

机构地区：[1]武警总医院胸外科,北京100039

出　　处：《重庆医学》2011年第32期3285-3286,共2页Chongqing medicine

摘　　要：目的探讨肺内孤立性结节(SPN)的诊断和外科治疗方式。方法回顾性分析了本院胸外科2005年1月至2011年1月112例外科手术治疗SPN的临床资料。结果所有病例均获得了病理确诊。术后病理报告肺癌62例(58.04%),47例为良性肿瘤(41.96%)。结论 CT扫描是首选鉴别SPN的无创检查方法。临床上发现的SPN应尽早诊断,尽快外科治疗。胸腔镜微创手术在明确SPN病理诊断方面有重要的作用,是值得推广的手术方式。Objective To investigate the diagnosis and surgical treatment procedure of the solitary pulmonary nodules（SPN）.Methods 112 patients with SPN were operated from January 2005 to January 2011 in the Department of Thoracic Surgery of the hospital.Their clinical and pathological data were retrospectively analyzed.Results All patients received lung biopsies and were diagnosed pathologically.There were 62 malignant cases（58.04%） and 47 benign cases（41.96%）.Conclusion CT scan is a preferred noninvasive test for identifying SPN.Early diagnosis and surgical treatment is so important for patients with SPN.Video-assisisted thoracoscopic surgery（VATS） is irreplaceable for definite pathologic diagnosis of SPN.VATS is effective and should be promoted to further apply on the patients with SPN.

关 键 词：硬币病变 肺 诊断 外科治疗 

分 类 号：R816.4[医药卫生—放射医学]