肺结节的诊断与外科手术治疗探讨  

Diagnosis and surgical treatment of pulmonary nodules

作　　者：宋朋 崔永[1] Song Peng;Cui Yong(Department of Thoracic Surgery,Bejing Friendship Hospital,Capital Medical University,Bejing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院胸外科,北京100050

出　　处：《国际外科学杂志》2023年第11期725-731,共7页International Journal of Surgery

基　　金：中国医学基金会微创外科科研项目(ZGYXJJH-WCWK-2023062002);北京市通州区科技计划项目(KJ2023CX005)。

摘　　要：随着低剂量CT广泛应用于肺癌筛查,肺结节的检出率越来越高。肺结节的早期诊断、早期治疗可以明显地降低肺癌的死亡风险。然而在肺癌早期诊治过程中如何通过必要而准确的检查避免过度诊疗或诊疗不足,如何明确手术时机、并采取最佳的手术方式等一系列问题仍亟需解决。本文将聚焦影像学检查、肿瘤标志物以及有创检查在肺结节良恶性评估中的诊断价值和肺结节外科治疗的手术时机、手术方式以及切除范围等临床关注的重点问题,并梳理临床诊治思路,探讨处理策略,为肺结节的临床规范化诊治提供参考。With the widespread application of low-dose CT in lung cancer screening,more and more pulmonary nodules are detected.Early diagnosis and treatment of pulmonary nodules can significantly reduce the risk of death from lung cancer.However,a series of problems stil need to be solved in the early diagnosis and treatment of lung cancer,such as how to avoid over-diagnosis or under-diagnosis through necessary and accurate examination,how to determine the timing of surgery and how to adopt the best surgical method.This article will focus on the diagnostic value of imaging examination,tumor markers and invasive examination in the evaluation of benign and malignant pulmonary nodules,as well as the key clinical issues such as timing,method and extent of resection in the surgical treatment of pulmonary nodules,sorting out the clinical diagnosis and treatment ideas,and discussing management strategies,so as to provide references for the standardized clinical diagnosis and treatment of pulmonary nodules.

关 键 词：肺肿瘤 结节病 肺 诊断 肺外科手术 

分 类 号：R563[医药卫生—呼吸系统]