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中华胸部外科电子杂志 ›› 2018, Vol. 05 ›› Issue (03) : 189 -192. doi: 10.3877/cma.j.issn.2095-8773.2018.03.10

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综述

肺部小结节的外科策略
但扬刚1, 杨林江1,()   
  1. 1. 810007 西宁,青海省人民医院胸外科
  • 收稿日期:2018-04-10 出版日期:2018-08-28
  • 通信作者: 杨林江

Surgical strategy of small pulmonary nodules

Yanggang Dan1, Linjiang Yang1,()   

  1. 1. Department of Thoracic Surgery, Qinghai Provincial People's Hospital, Xining 810007, China
  • Received:2018-04-10 Published:2018-08-28
  • Corresponding author: Linjiang Yang
  • About author:
    Corresponding author: Yang Linjiang, Email:
引用本文:

但扬刚, 杨林江. 肺部小结节的外科策略[J]. 中华胸部外科电子杂志, 2018, 05(03): 189-192.

Yanggang Dan, Linjiang Yang. Surgical strategy of small pulmonary nodules[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2018, 05(03): 189-192.

肺部小结节(SPN)是临床上常见的现象,早期临床难以判断其性质。恶性SPN发病较隐匿,如果不进行临床干预,其病程发展迅速、恶性程度高、预后差。如能在早期就对恶性病灶行手术切除,会明显改善患者的预后。目前对肺小结节的处理指南更新频繁,但各大指南尚未达成统一共识。文章通过收集国内外各大中心针对SPN处理的临床研究,明确SPN的定义,并对其诊断标准和手术指征进行了系统归纳,对不同类型SPN的外科处理策略进行了总结分析,以达到指导临床诊治的目的。

Small pulmonary nodules (SPN) are quite clinically common, so it’s difficult to make a correct prediction on its nature. The development of malignant SPN is hard to be observed, and if it is not clinically intervened, its will develop rapidly with high malignancy and poor prognosis. If the surgical resection of the malignant lesion can be performed at an early stage, the prognosis of the patient will be significantly improved. At present, the guidelines for the treatment are updated frequently, but none have yet reached a consensus. By collecting clinical studies on SPN treatment at major centers at home and abroad, this paper identified the definition of SPN, and summarized the diagnostic criteria and surgical parameters as well as different surgical strategies in the hope of guiding clinical diagnosis and treatment.

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