肺部多发磨玻璃影的外科治疗  

Surgery for Pulmonary Multiple Ground Glass Opacities

作　　者：王群[1] 蒋伟[1] 奚俊杰[1] 

机构地区：[1]复旦大学附属中山医院胸外科,上海200032

出　　处：《中国肺癌杂志》2016年第6期355-358,共4页Chinese Journal of Lung Cancer

摘　　要：肺部磨玻璃影(ground glass opacity,GGO)的发病率近年来日益增高,很多患者发现有多发GGO,但多发GGO的诊疗还存在争议。肺部GGO是一种影像学表现,包含了多种病理类型,其中有一部分GGO是早期肺癌。GGO是一种惰性结节,只有少数GGO会发生变化,且随访不会影响外科治疗的效果。多发GGO的手术时机主要由主病灶决定,主病灶中实性成分大于5 mm时建议外科干预。手术方式可以选择肺叶切除或亚肺叶切除,除主病灶以外,其他GGO不必全部切除。具有高危因素的多发GGO需要纵隔淋巴结清扫或采样。The incidence of pulmonary ground glass opacity（GGO） has been increasing in recent years, with a great number of patients having multiple GGOs. Unfortunately, the management of multiple GGOs is still controversial. Pulmonary GGO is a radiological term, consisting of different pathological types. Some of the GGOs are early-staged lung cancer. GGO is an indolent nodule, only a small proportion of GGOs change during observation, which does not influence the efficacy of surgery.. The timing of surgery for multiple GGOs mainly depends on the predominant nodule and surgery is recommended if the solid component of the predominant nodule 5 mm. Either lobectomy or sub-lobectomy is feasible. GGOs other than the predominant nodule can be left unresected. Multiple GGOs with high risk factors need mediastinal lymph node dissection or sampling.

关 键 词：肺肿瘤 肺部磨玻璃影 手术 

分 类 号：R734.2[医药卫生—肿瘤]