肺结节规范化诊治专家共识

Expert consensus on standardized diagnosis and treatment of pulmonary nodules

肺结节筛查计划推广及低剂量胸部CT日益普及,让更多肺结节患者得到早期诊断。但如何精准识别高危肺结节,让患者得到准确诊断和规范化诊疗,是目前肺结节诊疗的热点和难点。2015年首部“肺结节诊治专家共识”发表后,各个地区结合当地实情相继完善了肺结节诊治与管理策略,参考国内外文献成果及现有的肺结节诊疗专家共识,结合筛查肺结节的临床诊疗经验,经过呼吸、感染、影像、病理等领域专家的多轮会议研讨,最终制定了这部肺结节诊治专家共识。通过阐述肺结节的诊治要点、治疗方法选择,旨在让呼吸学科及相关学科医师对肺结节规范诊疗有一个全面认识,也为各级医院开展肺结节规范诊治工作提供参考依据。

With the promotion of pulmonary nodule screening program and the increasing popularity of low-dose chest CT,more patients with pulmonary nodules to get a preliminary diagnosis.However,the hot and difficult point of pulmonary nodule diagnosis and treatment is that how to accurately recognize high-risk pulmonary nodules,and enable patients get accurate and standardized diagnosis and treatment.After the publication of the first“Expert consensus on the diagnosis and treatment of pulmonary nodules”in 2015,various regions have successively improved the diagnosis and management strategies of pulmonary nodules based on local conditions.After several rounds of meetings and discussions held by experts in respiratory,infection,imaging,pathology and other fields,this expert consensus on the diagnosis and treatment of pulmonary nodules eventually has been formulated by referring to domestic and foreign literature results,expert consensus on diagnosis and treatment of pulmonary nodules as well as the clinical diagnosis and treatment experience of screening pulmonary nodules.By elaborating the diagnosis and treatment of pulmonary nodules,physicians of respiratory and related disciplines have a comprehensive understanding of the standardized diagnosis and treatment of pulmonary nodules,and it also provides reference for hospitals at all levels to carry out the plan of pulmonary nodules.