摘要
近年来,随着影像学技术的发展,越来越多的肺部磨玻璃结节(ground-glass nodule,GGN)被发现。GGN被检出后,需结合现有检查手段,进一步判断其良恶性。常见的判断检查手段包括PET/CT、纤支镜、CT引导穿刺活检以及高清薄层CT(HRCT),各有优劣。而对恶性风险大的GGN,需行微创外科手术干预,阻止疾病的进展。外科治疗中,微创手术方式的选择、GGN的肺内精准定位、术中冰冻病检的准确性与局限性、GGN的淋巴结清扫、恶性GGN的术后随访,均是外科治疗的热点问题。外科诊治在GGN的管理中占据着越来越重要的作用,本文将回顾现有的GGN相关研究,对恶性GGN外科诊断与治疗作一小结。
In recent years,with the development of imaging technology,more and more ground-glass Nodule(GGN)in the lungs have been discovered.After GGN is detected,it should be further judged whether it is benign or malignant by combining with existing inspection methods.Common diagnostic and examination methods include PET/CT,fiberoptic bronchoscopy,CT-guided puncture biopsy and High Resolution CT(HRCT),each of them with its own advantages and disadvantages.For GGN with high malignant risk,minimally invasive surgical intervention is needed to prevent the progress of the disease.The hot issues of surgical treatment include the selection of minimally invasive surgical methods,the precise positioning of GGN in the lung,the accuracy and limitations of intraoperative freezing examination,lymph node dissection of GGN,and postoperative follow-up of malignant GGN diagnosed as cancer.Under the premise that surgical diagnosis and treatment play an increasingly important role in the management of GGN,this paper will review the existing GGN related studies and make a summary of the surgical diagnosis and treatment of malignant GGN.
作者
程良
江中辉
高薇
赵永生
付茂勇
Cheng Liang;Jiang Zhonghui;Gao Wei;Zhao Yongsheng;Fu Maoyong(Department of Thoracic,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2019年第12期763-768,共6页
Chinese Journal of Thoracic and Cardiovascular Surgery
