多学科协作诊疗模式在肺小结节诊断中的应用

Application of multidisciplinary team pattern in diagnosis for the small pulmonary nodules

目的:评价多学科协作(MDT)诊疗模式在肺小结节诊治中的应用效果。方法:回顾性分析MDT诊疗模式运作后肺小结节门诊就诊量变化、小肺癌的检出例数、诊断符合率以及手术数量的变化。结果:MDT诊疗模式运作后肺小结节门诊就诊人数从2012年的1 136例次增加到2014年的4 455例次,小肺癌检出例数由2012年的56例(直径≤1 cm)、106例(直径≤2 cm)增加到2014年的118例(直径≤1 cm)、210例(直径≤2 cm),诊断符合率由2012年的83.4%提高到2014年的91.4%。结论:MDT诊疗模式的应用显著地增加了肺小结节门诊就诊人数,同时有效地提高了小肺癌的检出率及肺小结节诊断符合率。

Objective： To evaluate the effect of multidisciplinary team （MDT） pattem applied in diagnosis for small pulmonary nodules. Methods： We retrospectively analyzed changes in the amount of the outpatients for small pulmonary nodules, the cases of detected small-size lung cancer, the rate of diagnostic agreement of small pulmonary nodules and the quantity of surgery for small-size lung cancer after application of the MDT pattern. Results： The number of the outpatients for small pulmonary nodules increased from 1 136 patients in 2012 to 4 455 patients in 2014, and the cases of the detected small-size lung cancer increased from 56 in 2012 to 118 in 2014 with tumor diameter≤ 1 cm, and from 106 to 210 with diameter≤ 2 cm, respectively, and the rate of diag- nostic agreement raised from 83.4% in 2012 to 91.4% in 2014 after the MDT pattern was applied. Conclusion： Application of the MDT pattern significantly increases the outpatients for small pulmonary nodules. Besides, the small-size lung cancers are detected more efficiently, and the diagnostic accordance rate is accordingly improved.