106例肺部毛玻璃密度影的诊断及外科治疗

Diagnosis and Surgical Treatment for 106 Case with Pulmonary Ground-glass Opacity

[目的]探讨肺部毛玻璃密度影（ground-glass opacity,GGO）的诊断和外科治疗策略。[方法 ]回顾性分析106例肺部毛玻璃密度影患者的CT影像学表现、治疗方法,将术前影像学表现与术后病理结果对比分析。[结果]106例患者中手术治疗96例,术后病理为恶性肿瘤74例,占77.1%（74/96）;良性病变22例,占22.9%（22/96）,其中13例慢性炎症,9例不典型腺瘤样增生。无术后并发症发生。非手术治疗10例中抗炎或观察期间病变消失、吸收6例,4例患者观察2年无变化拒绝手术。74例恶性肿瘤患者随诊1-14年,均无肿瘤复发或转移。[结论]肺部毛玻璃密度影术前鉴别较为困难,对可疑肺癌的患者应积极手术治疗。

[Purpose] To investigate the diagnosis and surgical treatment procedure of the pulmonary ground-glass opacity（GGO）. [Methods] The imaging characteristics,treatment methods of106 cases with pulmonary GGO were reviewed retrospectively. And the characteristic of CT scan and pathology were analyzed contrastively. [Results] Ninety-six patients underwent operation,with 74 cases of malignant tumor（77.1%,74/96）,22 cases of benign lesions（22.9%,22/96）,which including 13 cases of chronic inflammation,9 cases of atypical adenomatous hyperplasia（AAH）.No postoperative complication occurred. In the 10 cases of non-operation patients,the lesion of 6cases disappeared during the anti-inflammatory or observation,4 patients refused operation after observation for 2 years with no disease change. In 74 malignant tumors patients followed up for 1to 14 years,there was no tumor recurrence or metastasis. [Conclusion] Preoperative differential diagnosis of pulmonary GGO was difficult,the patients with suspicious diagnosis of lung cancer should be treated with operation appropriately.