我国胸外科磨玻璃结节诊疗策略的演进

Development in Diagnosis and Treatment for Pulmonary Ground-Glass O-pacity in China

肺癌筛查广泛开展之后,CT筛查出的大量肺磨玻璃结节改变(ground-glass opacity,GGO)成为近年来最受关注的CT影像学征象。胸外科手术技术和辅助技术的进步也使得我们可以借助更多有效的手段来定位、确诊和治疗这样的微小病灶,从而让我们对磨玻璃结节的恶性影像学特征,病理诊断,胸外科微创手术策略和预后的认识逐渐深入。对于磨玻璃结节诊疗策略的认识从高分辨CT技术能够捕获这样的微小病灶开始,人们就一直在观察随访和积极手术切除这两大方向上寻找最佳干预的平衡点。经过相关学科专家的多年来不断探究,基于影像学和病理学诊断技术、解剖性部分肺叶切除手术技术的进步以及预后统计的结果,目前我国对于GGO的诊疗策略已日趋成熟和清晰。同时基于我国各大胸外科中心庞大的GGO手术病例量,让我国专家对GGO认识最为深刻,诊断和处置技术在国际上处于领先地位。

Since lung cancer screening has been widely conducted,ground-glass opacity(GGO)detected by CT screen-ing has become the most concerned CT imaging sign in recent years.With the development in thoracic surgery and assistant techniques,it is more effective to locate,diagnose and treat micro-lesions,thus gradually deepening our understanding of malignant imaging characteristics,pathological diagnoses,minimally invasive surgical strategies and prognosis of GGO.Since such micro-lesions can be captured by high-resolution CT,people have been looking for the balance between follow-up and timely radical surgical resection.Based on the progress of imaging and pathological diagnosis techniques,anatomical partial lobectomy and prognostic statistics,the diagnosis and treatment strategies for GGO in China have become increasingly mature and clear.And based on the large number of GGO surgical cases in major thoracic surgery centers in China,Chinese experts have the deepest understanding of GGO,and become pioneer in the diagnosis and treatment of GGO.