老年人肺结节的治疗与管理策略  

Treatment and management strategies for pulmonary nodules in the elderly

作　　者：苑艳艳 何祥萌 李成利 Yuan Yanyan;He Xiangmeng;Li Chengli(Department of Oncology,Shandong Provincial Hospital(Group)Yuncheng Hospital,Yuncheng 274700,China;Department of Imaging Interventional Therapy,Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东省立医院(集团)郓城医院肿瘤科,郓城274700 [2]山东第一医科大学附属省立医院影像介入治疗科,济南250021

出　　处：《中华老年医学杂志》2025年第3期277-282,共6页Chinese Journal of Geriatrics

摘　　要：随着人们健康意识的增强和低剂量螺旋CT筛查的广泛应用,肺结节的检出率越来越高,尤其是老年人肺结节的发病率明显升高,老年人因身体机能的特殊性其治疗面临挑战。本文对肺结节的常用治疗方法,包括外科治疗、立体定向放射治疗、影像引导局部消融治疗、全身系统治疗的治疗策略分别进行探讨,分析各种治疗方法的临床应用现状及相关技术特点,针对目前肺结节中的研究热点磨玻璃结节(ground-glass nodule,GGN)进行重点分析,为老年患者个体化治疗的选择策略提供参考,同时探讨多学科诊疗(multidisciplinary team,MDT)管理和医患共同决策的模式在实现肺结节患者精准个体化诊疗中的应用。With the increasing awareness of health among the public and the widespread use of low-dose spiral CT screening,the detection rate of pulmonary nodules has risen significantly.Notably,the incidence of pulmonary nodules is considerably higher among the elderly population,which presents unique challenges due to their specific physiological conditions.This article aims to review and explore the commonly employed treatment methods for pulmonary nodules,including surgical interventions,stereotactic radiation therapy,image-guided local ablation therapy,and systemic treatment strategies.We will analyze the clinical application status and technical characteristics of these various treatment modalities,with a particular focus on the current research hotspot of ground glass nodules(GGNs)within the context of pulmonary nodules.This analysis will provide insights for developing personalized treatment strategies tailored to elderly patients.Additionally,we will examine the role of multidisciplinary team(MDT)management and collaborative decision-making between doctors and patients in achieving precise and personalized diagnosis and treatment for individuals with pulmonary nodules.

关 键 词：结节病 肺 放射治疗 多学科诊疗 

分 类 号：R73[医药卫生—肿瘤]