摘要
目的:探讨肺局灶性GGO的最佳治疗方式。方法:回顾性分析2007年1月至2013年12月我院收治的CT影像表现为肺局灶性GGO病变105例。对肺局灶性GGO的CT影像、手术的时机选择、手术方法、病理分型等数据进行分析。结果:接受手术治疗69例,其中局部肺切除21例,肺叶切除48例,15例发现淋巴结转移,其中混合型GGO 14例,单纯型GGO 1例。手术病例中恶性病变占74%(51/69)。36例未手术病例中,21例持续抗炎治疗至病变吸收、消散,最长3例治疗6周。6例未经继续抗炎或手术治疗,CT随诊后病灶消失。6例病灶无变化继续随诊,3例病灶增大患者拒绝手术探查。手术病例随诊6个月至5年,无复发或转移。结论:单纯型GGO可行局部肺切除或肺叶切除,同时加淋巴结探查,混合型GGO需行肺叶切除加淋巴结清扫。
Objective:To study the best treatment of pulmonary focal GGO. Methods:To analyze the CT images, operation time, surgical treatment and pathological of 105 cases of pulmonary focal GGO from January 2007 to Decem- ber 2013. Results: Sixty nine cases accepted surgical treatment, 21 cases accepted partial pneumonectomy, and 48 ca- ses accepted pneumonectomy among them. Among 15 cases with lymph node metastasis, 14 cases were mix GGO and 1 case was pure GGO. Malignant lesions were 74% 69 cases( 51/69 ). Among 36 cases with no surgical treatment,21 cases were cured by anti - inflammatory therapy, there were 3 cases lasting six weeks. 6 cases with no treatment. 6 ca- ses with no change. 3 cases became lager but they refused surgical treatment. Those cases recepted surgical treatment follow -up from six months to five years with no recurrence and transfer. Conclusion:Pure GGO can be cured by par- tial pneumonectomy or pneumonectomy with lymph node detection, mix GGO should be treated by pneumonectomy with lymph node cleaning.
出处
《现代肿瘤医学》
CAS
2015年第24期3600-3603,共4页
Journal of Modern Oncology
基金
江苏省333工程省级项目(编号:BRA2014044)
无锡市医院管理中心项目(编号:YGZX1210)