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
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
基金项目:
作者单位
常秀军 首都医科大学附属北京胸科医院 
王子彤 首都医科大学附属北京胸科医院 
李福根 首都医科大学附属北京胸科医院 
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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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