直径≤2 cm肺结节胸外科合理诊疗中国专家共识(2024)

Chinese thoracic surgery expert consensus on rational diagnosis and treatment of pulmonary nodules with a diameter≤2 cm(2024)

随着低剂量计算机断层扫描技术的广泛应用和公众健康意识的提高,越来越多肺结节被早期发现。肺结节,尤其是直径≤2 cm的结节,由于存在进展为肺部肿瘤性病变的可能,已成为临床诊疗中亟待解决的问题。本着“不过度”“不错过”的两“不”原则,以规范肺结节的临床诊疗为目标,主要基于大型临床研究数据,参考国内外指南及共识,会同国内胸外科领域近百位专家反复商讨后制定《直径≤2 cm肺结节胸外科合理诊疗中国专家共识(2024)》,共形成29条共识;主要根据肺结节的大小、成分、发病部位等不同特征,提出具有针对性的筛查、随访、诊断准则,以及个体化治疗、手术方案及术后快速康复的推荐。

With the increasing application of low-dose computed tomography and the rising public health awareness,the early detection of pulmonary nodules has become more prevalent.Pulmonary nodules,especially those with a diameter≤2 cm,pose a critical challenge in clinical practice due to the potential risk of progressing into malignant lung lesions.Guided by the principles of"avoiding both over-treatment and mistreatment",the goal is to standardize the clinical management of pulmonary nodules.The"Chinese thoracic surgery expert consensus on rational diagnosis and treatment of pulmonary nodules with a diameter≤2 cm(2024)"was developed after extensive consultation with nearly one hundred thoracic surgery experts in China,relying on large-scale clinical study data and referencing national and international guidelines and consensus.The consensus includes 29 recommendations,focusing on specific attributes such as the size,composition,and anatomical positioning of the nodules.It proposes targeted guidelines for screening,followup,diagnostic criteria,and recommendations for personalized treatment,surgical approaches,and protocols for rapid postoperative recovery.