肺部磨玻璃结节中西医诊疗现状

Current status of traditional Chinese medicine and western medicine in diagnosis and treatment of pulmonary ground⁃glass nodule

随着人们健康意识的提高及低剂量CT作为肺癌筛查手段的推广,肺部磨玻璃结节(GGN)的检出率逐步增高,而肺部GGN与肺腺癌关系较为密切,故临床中肺部GGN的及时诊治对阻断炎-癌转化具有重要的作用。从肺部GGN的中医认识、风险因素、恶变机制、诊断及中西医治疗等角度进行总结,探讨GGN的中西医诊疗现状。鉴于目前西医治疗GGN以随访观察为主,中医药尚无成熟的诊疗标准,故亟须确立有效可行的肺部GGN中西医结合诊疗方案。

With the improvement of people's health awareness and the popularization of low-dose CT as a means of pulmonary cancer screening,the detection rate of pulmonary ground-glass nodule(GGN)is gradually increasing.While the pulmonary GGN is closely related to pulmonary adenocarcinoma,so timely diagnosis and treatment of pulmonary GGN in clinical practice play an important role in blocking the transformation of inflammatory to cancer.This paper summarizes the current status of traditional Chinese medicine and western medicine in diagnosis and treatment of pulmonary GGN from the following aspects:understanding of traditional Chinese medicine,risk factors,mechanisms of malignancy,diagnosis and traditional Chinese medicine and western medicine treatment.In view of the fact that western medicine treatment of GGN is mainly based on follow-up observation,and traditional Chinese medicine has no mature diagnosis and treatment standard,so it is urgent to establish an effective and feasible plan for diagnosis and treatment of GGN with the integration of traditional Chinese medicine and western medicine.