脏层胸膜浸润术前评估方法的研究进展  

Research progress in the preoperative evaluation methods of visceral pleural invasion

作　　者：卓雪峰 刘建伟[1] 黄秉韬[1] 张敬敬[1] 张靖雨 Zhuo Xuefeng;Liu Jianwei;Huang Bingtao;Zhang Jingjing;Zhang Jingyu(Department of Thoracic Surgery,Binzhou Medical University Hospital,Binzhou 256603,China;Department of Thoracic Surgery,Yantai Yuhuangding Hospital,Yantai 264000,China)

机构地区：[1]滨州医学院附属医院胸外科,滨州256603 [2]烟台毓璜顶医院胸外科,烟台264000

出　　处：《国际医药卫生导报》2024年第2期187-191,共5页International Medicine and Health Guidance News

摘　　要：肺癌致死率已居全球恶性肿瘤首位。脏层胸膜浸润(VPI)作为早期肺癌患者不良预后的独立危险因素之一,与肺癌患者胸腔积液的发生密切相关,是预测患者术后复发、转移的重要因素。术前评估患者是否存在VPI对手术方案的制定及术后辅助治疗的选择至关重要。虽然电子计算机断层扫描(CT)仍作为术前评估肺癌患者是否存在VPI最常用的方法,但其存在显著的局限性。近年来,随着科学技术的进步,很多新的评估VPI的方法被临床应用,以提高评估的精准度。本研究对早期肺癌患者VPI术前评估方法的研究进展进行系统综述。The mortality rate of lung cancer has ranked first in the world for malignant tumors.As one of the independent risk factors for the poor prognosis in patients with early-stage lung cancer,visceral pleural invasion(VPI)is closely related to the occurrence of pleural effusion in lung cancer patients,and is an important factor in predicting recurrence and metastasis after surgery.Preoperative assessment of the patients'presence of VPI is critical to the development of surgical regimen and the choice of postoperative adjuvant therapy.Although CT remains the most commonly used method for preoperative evaluation of the presence of VPI in lung cancer patients,it has significant limitations.In recent years,with the advancement of science and technology,many new methods for evaluating VPI have been applied clinically to improve the accuracy of evaluation.This study reviews the research progress of preoperative evaluation methods for VPI in patients with early-stage lung cancer.

关 键 词：肺癌 早期 脏层胸膜浸润 术前评估 电子计算机断层扫描 核磁共振 进展 

分 类 号：R734.2[医药卫生—肿瘤]