Asset Details
Do you wish to reserve the book?
术前恶性不除外手术病理确诊肺部良性病变297例患者临床-放射-病理特征分析:一项中国单中心回顾性队列研究
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
术前恶性不除外手术病理确诊肺部良性病变297例患者临床-放射-病理特征分析:一项中国单中心回顾性队列研究
Do you wish to request the book?
术前恶性不除外手术病理确诊肺部良性病变297例患者临床-放射-病理特征分析:一项中国单中心回顾性队列研究
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
术前恶性不除外手术病理确诊肺部良性病变297例患者临床-放射-病理特征分析:一项中国单中心回顾性队列研究
2020
Overview
背景与目的 随着癌症早筛意识的提高,低剂量计算机断层扫描(low-dose computed tomography,LDCT)用于肺癌筛查在中国广泛开展.尽管有部分胸部LDCT筛查所见的肺部病灶是肿瘤病灶,但大多数的肺部结节是良性病变.如何有效的对肺部病灶进行术前鉴别,如何降低部分可避免手术的良性疾病的手术切除比例,是需要关注的问题.方法 本研究纳入2017年1月1日-2018年12月31日期间北京协和医院诊治的,术前考虑肺部恶性病变不能除外,经手术病理确认为良性病变的患者,回顾性分析患者临床信息.结果 297例患者纳入本研究,占我院肺部病灶行肺部手术治疗患者的9.8％.197例(66.3％)患者因体检行LDCT筛查发现肺部病灶.肺部病变胸部CT影像学评估情况,可评估的323个病灶,平均长径为(17.9±12.1)mm,直径≥8 mm的占91.0％,实性最多见(212/323,65.6％),此类肺部病灶可有毛刺征(71/323,22.0％)、分叶征(94/323,29.1％)、胸膜牵拉征(81/323,25.1％)、血管集束征(130/323,40.2％)、空泡征(23/323,7.1％)等,提示恶性病变的影像学特征.292例(98.3％)行电视辅助胸腔镜手术(video-assisted thoracoscopic surgery,VATS),232例(78.1％)患者行肺楔形切除术,13例(4.4％)行肺段切除术,51例(17.2％)患者行肺叶切除术.4例(1.3％)患者出现手术并发症.术后病理类型前3位的是感染性疾病98例(33.0％)、炎性结节96例(32.3％)和错构瘤64例(21.5％).结论 因术前不能排除恶性而行手术切除的肺部良性病灶,影像学表现以实性病灶多见,但多具有提示恶性的影像学特征.VATS可作为一种明确病原病理的重要活检方式.此类病灶病理结果以感染性疾病和炎性结节最为常见,错构瘤第三.
Publisher
100730 北京,中国医学科学院,北京协和医学院,北京协和医院呼吸与危重症医学科%100730 北京,中国医学科学院,北京协和医学院,北京协和医院胸外科,中国肺癌杂志编辑部
Subject
