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  • 张云嵩,杨晨露,陈建,陈田子,黄靖,蒋雷.肺部小结节的外科临床诊治进展[J].第二军医大学学报,2019,40(8):847-853    [点击复制]
  • ZHANG Yun-song,YANG Chen-lu,CHEN Jian,CHEN Tian-zi,HUANG Jing,JIANG Lei.Progress in surgical diagnosis and treatment of pulmonary small nodules[J].Acad J Sec Mil Med Univ,2019,40(8):847-853   [点击复制]
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肺部小结节的外科临床诊治进展
张云嵩1,2,杨晨露1,陈建1,陈田子2,黄靖3*,蒋雷1*
0
(1. 同济大学附属上海市肺科医院胸外科, 上海 200433;
2. 天津中医药大学附属武清区中医院胸外科, 天津 301700;
3. 同济大学附属上海市肺科医院呼吸科, 上海 200433
*通信作者)
摘要:
肺部小结节是肺部常见疾病,也是肺癌进展的初始阶段。本文阐述了肺部小结节的定义、肺部小结节良恶性的区分,概述了常用的肺部小结节诊断方法,并对国内外常用指南的肺部小结节随访策略进行了比较,最后解释了肺部小结节手术外科治疗原则中的微创手术原则、精准治疗原则和加速康复原则,旨在为肺部小结节的临床诊断及治疗提供发展方向。
关键词:  肺部小结节  肺肿瘤  早期诊断  外科手术
DOI:10.16781/j.0258-879x.2019.08.0847
投稿时间:2019-03-12修订日期:2019-06-08
基金项目:
Progress in surgical diagnosis and treatment of pulmonary small nodules
ZHANG Yun-song1,2,YANG Chen-lu1,CHEN Jian1,CHEN Tian-zi2,HUANG Jing3*,JIANG Lei1*
(1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China;
2. Department of Thoracic Surgery, Wuqing Hospital of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301700, China;
3. Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China
*Corresponding authors)
Abstract:
Pulmonary small nodules are common diseases of the lung, and are the initial stage of lung cancer progression. This review describes the definition of pulmonary small nodules, the identification methods of benign and malignant pulmonary small nodules, and the common diagnostic methods for pulmonary small nodules. In addition, we compared the follow-up strategies of pulmonary small nodules in common guidelines at home and abroad. We also explained the principles of minimally invasive surgery, precise treatment and accelerated rehabilitation of pulmonary small nodules, providing directions for the clinical diagnosis and treatment of pulmonary small nodules.
Key words:  pulmonary small nodules  lung neoplasms  early diagnosis  operative surgical procedures