肺癌多学科综合诊治现状及未来方向  

Current Situation and Future Direction of Multidisciplinary Diagnosis and Treatment of Lung Cancer

作　　者：车国卫[1,2] 周清华[1,2] Guowei CHE;Qinghua ZHOU(Lung Cancer Center/Lung Cancer Institute;Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院肺癌中心/肺癌研究所,成都610041 [2]四川大学华西医院胸外科,成都610041

出　　处：《中国肺癌杂志》2024年第5期325-329,共5页Chinese Journal of Lung Cancer

摘　　要：尽管肺癌多学科诊疗(multidisciplinary team,MDT)模式能够提高患者的生活质量和生存预后,为何没有达到MDT诊疗模式所预期的目标呢?主要原因是肺癌MDT诊治模式相对滞后于各种治疗手段的进步。分析国内外肺癌MDT诊治最新研究成果,结合四川大学华西医院肺癌中心肺癌MDT诊治经验,本文将从以下几个方面对肺癌MDT的进展及未来发展方向进行讨论和总结:(1)肺癌MDT诊治模式的内涵和外延需要转变并适应新的诊治手段;(2)肺癌MDT诊治临床决策应当从“多学科会诊(multidisciplinary consultation,MDC)”向“MDT”转变;(3)肺癌MDT诊治过程要从“消防队模式”转向“防火墙模式”,并最终实行“个体化全程管理模式”;(4)肺癌MDT诊治路径要从“临时召集模式”向“肺癌单病种中心制模式”转变。Although multidisciplinary team(MDT)diagnosis and treatment model can improve the quality of life and survival prognosis of the patients,why does it not reach the expected goal of the MDT diagnosis and treatment model?The main reason is that the diagnosis and treatment mode of MDT in lung cancer lags behind the progress of various treatment methods.By analyzing the latest research results of MDT diagnosis and treatment of lung cancer at home and abroad,combined with the experience of MDT diagnosis and treatment of lung cancer in the Lung Cancer Center of West China Hospital of Sichuan University,this article will discuss and summarize the progress and future direction of MDT in lung cancer from the following aspects:(1)The connotation and extension of MDT diagnosis and treatment mode of lung cancer need to be changed and adapted to new methods of diagnosis and treatment;(2)The clinical decision making in the diagnosis and treatment of MDT in lung cancer should be transformed from"multidisciplinary consultation(MDC)"to"MDT";(3)The diagnosis and treatment process of MDT in lung cancer should shift from"fire brigade mode"to"firewall mode",and finally implement"individualized whole-process management mode";(4)The path of MDT diagnosis and treatment of lung cancer should be changed from"temporary convening mode"to"single disease center system mode of lung cancer".

关 键 词：多学科诊疗 临床决策 诊治模式 肺肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]