实用医学杂志2012,Vol.28Issue(22):3723-3725,3.DOI:10.3969/j.issn.1006-5725.2012.22.018
精确CT引导定位局限性肺磨玻璃影的临床病理和手术模式探讨
Study of clincal pathology and surgical treatment for pulmonary focal GGO by accurate CT-guided positioning
摘要
Abstract
Objective To study the clinical pathology and surgical treatment for pulmonary focal GGO by accurate CT positioning. Method 92 patients with pulmonary focal GGO were accepted accurate CT positioning before surgery. Rational surgical methods were determined according to the imaging characteristics and intraoperative quick pathological findings. Results Of the 92 surgical patients, 42.4% of them were benign lesions and 57.6% of them were malignancy and premalignant lesions. The proportion of GGO in Pulmonary nodule were < 50% and ≥ 50% , The frequency of occurrence was statistically significant difference (P < 0.01) between benign and malignancy. The proportion of GGO in Pulmonary nodule were <10%、10%~50% and ≥50%, with a statistically significant difference (P < 0.01) in the ratio of lymph nodes metastasis and survival rate at 3 and 5 year. Conclusion We should have a positive attitude in handling focal GGO. A rational surgical methods were determined according to the characteristic of image, the size and proportion of GGO in Pulmonary nodule and intraoperative quick pathological findings to avoid to enlarge the extent of the operation and to delay the reasonable opportunity.关键词
肺结节,局限性/临床病理/手术模式Key words
Pulmonary nodule, focal/ Clinical pathology/ Surgical model引用本文复制引用
魏立,赵松,陈明耀,朱晓明..精确CT引导定位局限性肺磨玻璃影的临床病理和手术模式探讨[J].实用医学杂志,2012,28(22):3723-3725,3.基金项目
河南省科技厅重点科技攻关项目(编号:102102310410) (编号:102102310410)