上海市松江城区某社区老年居民肺部结节的发生率和易发因素分析  

Incidence and high-susceptibility factors of pulmonary nodules in residents of a certain community in Songjiang District, Shanghai

作　　者：包爱华[1] 郭海英[1] 何之彦[2] 章晓淼[3] 陈栋辉 饶亚飞 包婺平[1] 周新[1] 张旻[1] 李群[1] BAO Ai-hua;GUO Hai-ying;HE Zhi-yan;ZHANG Xiao-miao;CHEN Dong-hui;RAO Ya-fei;BAO Wu-ping;ZHOU Xin;ZHANG Min;LI Qun(Shanghai General Hospital,Shanghai200080,China)

机构地区：[1]上海市第一人民医院呼吸与危重症医学科,上海200080 [2]上海市第一人民医院放射科,上海200080 [3]上海市第一人民医院胸外科,上海200080 [4]上海市第一人民医院肿瘤内科,上海200080 [5]郑州大学附属第一人民医院呼吸与危重医学科,河南郑州450052

出　　处：《临床肺科杂志》2019年第6期1061-1065,共5页Journal of Clinical Pulmonary Medicine

基　　金：上海市松江区科学技术攻关项目(No 2017sjkjgg60);上海市第一人民医院临床研究创新团队项目(No KD018-ly01)

摘　　要：目的了解华东老年居民肺部小结节的发生率及其易发因素。方法通过对上海市松江城区某社区年龄≥60岁,<75岁的居民进行低剂量CT筛查以及对其年龄、性别、职业、生活史、既往史及家族遗传病史的问卷调查。结果该社区老年居民肺部结节的发生率约为30.62%,肺部结节最常累及肺叶为右肺上叶,最常累及肺段为左肺上叶尖后段。单发结节的发生率高于多发结节。实性结节最为常见,良性征象出现的概率高于不良征象。男性、吸烟者以及恶性肿瘤家族史为肺部结节的易发因素;而男性、吸烟以及高血压病史是肺部多发结节的高危因素。结论该社区老年居民的肺结节发生率为30.62%,男性、吸烟者以及恶性肿瘤家族史为肺部结节的易发因素。Objective To study the incidence of pulmonary nodules and its high susceptibility factors in elder residents of East China.Methods The current study was done by means of low-dose CT(LDCT)scan and questionnaire investigations designed to identify their ages,gender,occupation,life history,history of personal past illness and family genetic disease,among residents living in a community of Songjiang District and between 60&75 years old.Results We found that the incidence of pulmonary nodules among the elder residents was 30.62%.Among all the lung lobes,the right up lobe was most frequently involved.Among all the lung segments,the apicoposterior segment of left upper lobe was most frequently involved.Single pulmonary nodules were more common than multiple pulmonary nodules in an individual.Among all the nodules,solid pulmonary nodule was the most frequently appeared one.Compared with those CT image signs bearing malignant suspicions,benign signs were more frequently to be found.Male,smoking and family history of malignant tumor were the high-susceptibility factors for the incidence of pulmonary nodules,while male,smoking and history of hypertension were the high-susceptibility factors for the incidence of multiple pulmonary nodules.Conclusion The incidence of pulmonary nodules in elder residents of selected area is 30.62%,and male,smoking and family history of malignant tumor were the high-susceptibility factors.

关 键 词：肺部结节 低剂量CT 发生率 高危因素 

分 类 号：R563[医药卫生—呼吸系统]