| 常秀军,王子彤,李福根.106例肺部毛玻璃密度影的诊断及外科治疗[J].肿瘤学杂志,2015,21(7):555-558. |
| 106例肺部毛玻璃密度影的诊断及外科治疗 |
| Diagnosis and Surgical Treatment for 106 Case with Pulmonary Ground-glass Opacity |
| 投稿时间：2015-01-12 |
| DOI：10.11735/j.issn.1671-170X.2015.07.B005 |
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| 中文关键词: 肺疾病 毛玻璃密度影 肺肿瘤 诊断 治疗 |
| 英文关键词:pulmonary disease ground-glass opacity lung neoplasms diagnosis treatment |
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| 中文摘要: |
| 摘 要：［目的］ 探讨肺部毛玻璃密度影(ground-glass opacity，GGO)的诊断和外科治疗策略。［方法］ 回顾性分析106例肺部毛玻璃密度影患者的CT影像学表现、治疗方法，将术前影像学表现与术后病理结果对比分析。［结果］ 106例患者中手术治疗96例，术后病理为恶性肿瘤74例，占77.1%（74/96）；良性病变22例，占22.9%（22/96），其中13例慢性炎症，9例不典型腺瘤样增生。无术后并发症发生。非手术治疗10例中抗炎或观察期间病变消失、吸收6例，4例患者观察2年无变化拒绝手术。74例恶性肿瘤患者随诊1~14年，均无肿瘤复发或转移。［结论］ 肺部毛玻璃密度影术前鉴别较为困难，对可疑肺癌的患者应积极手术治疗。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the diagnosis and surgical treatment procedure of the pulmonary ground-glass opacity(GGO). ［Methods］ The imaging characteristics，treatment methods of 106 cases with pulmonary GGO were reviewed retrospectively. And the characteristic of CT scan and pathology were analyzed contrastively. ［Results］ Ninety-six patients underwent operation，with 74 cases of malignant tumor(77.1%，74/96)，22 cases of benign lesions(22.9%，22/96)，which including 13 cases of chronic inflammation，9 cases of atypical adenomatous hyperplasia(AAH).No postoperative complication occurred. In the 10 cases of non-operation patients，the lesion of 6 cases disappeared during the anti-inflammatory or observation，4 patients refused operation after observation for 2 years with no disease change. In 74 malignant tumors patients followed up for 1 to 14 years，there was no tumor recurrence or metastasis. ［Conclusion］ Preoperative differential diagnosis of pulmonary GGO was difficult，the patients with suspicious diagnosis of lung cancer should be treated with operation appropriately. |
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