肺结节的诊疗策略探讨

Discussion on the diagnosis and treatment strategy of pulmonary nodules

肺结节作为新兴的肺系疑难疾病,诊疗策略仍处于研究完善阶段,患者常无症状,传统中医辨证困难,胸部CT作为最常用的检查手段可延伸望诊。西医处理策略以定期随访为主,恶性者即手术切除,中医药在西医随访期干预意义重大。文章探讨肺结节的中医药诊疗策略,强调从大小、良恶性质、数目、危险因素等辨识结节,抓住肺结节气滞津停、痰瘀阻络的核心病机,从状态综合治疗,提高中医药诊治疗效,防止癌变发生。

As a new and difficult pulmonary disease,the diagnosis and treatment strategy of pulmonary nodules is in a basic stage of research.Patients are often asymptomatic with TCM has difficulty in discriminate.Chest CT as the commonly examination method can be used to extend observation.The main treatment in western medicine is medical followup and give surgical resection for malignant patients.TCM intervention has great significance in the follow-up period.This paper discusses the diagnosis and treatment strategy of pulmonary nodules in TCM,emphasizing the identification of nodules in size,benign and malignant,numbers,risk factors,with the core pathogenesis of pulmonary nodules in qi stagnation,water retention,phlegm and blood stasis.With comprehensive status,can effectively improve the curative effect of TCM in the treatment of pulmonary nodules and prevent cancer.