肺部小结节的诊断与治疗

目的探讨小肺癌的临床诊治。方法自2005年6月至2007年6月，本院手术治疗33例肺部小结节患者，术前患者均进行X线摄片、胸部增强CT、纤维支气管镜、腹腔B超及脑CT检查。25例患者行肺叶切除（其中22例肺癌患者均行隆突下和纵隔淋巴结清扫）、8例良性病变行肺局部切除。结果所有患者无围术期死亡。术后病理检查提示：22例肺癌和11例肺内良性病变。术后随访28例，随访6～40个月，平均26个月，无一例死亡。结论小肺癌早期诊断和手术治疗能延长患者的生存期和改善预后。

Objective To explore the diagnosis and treatment of small lung nodules. Methods The 33 cases of small lung nodules with the surgical treatment were studied and compared in the 2005.06- 2007.06. All of the preoperative patients underwent routine examination of chest X- ray, thoracic enhanced CT scanning, bmnchofibmscope, abdominal ultrasound and encephalon CT. The 25 patients received pulmonary lobeetomy（the 22 patients of those received clearance of carina lymph node and mediastinal lymph node）, the others received lung local excision. Result There was no perioperative mortality. The pathology findings： The lung cancer were 22 cases, the benign lesion were 11 cases. There were 28 cases with postoperation follow - up 6 - 40 months. The average was 26 months. No one death of them. Conclusion Early diagnosis and treatment of small lung cancer can prolong life span and improve prognosis of patients.