摘要
确定肺部微小病灶的微创诊治方法。方法 对CT和X线胸片发现肺部病灶在 1 3cm以下的 2 6例病人 ,利用胸部微创伤外科技术将之楔形切出 ,肿物完整送作快速连续多层病理冰冻切片以确诊 ,恶性者作进一步肺叶切除加淋巴清扫。淋巴结各组病理切片均未发现转移。术后 14例未作化疗和放疗 ,5例化疗 1～ 2疗程。结果 19例最后诊断为恶性 ,占 73 % ,全部为I期 ;6例为良性 ,占2 7%。术后病理诊断与术前CT定性诊断相符率 63 %。随访 7～ 56个月 ,平均 2 3个月 ,全部病例生存。结论 对抗炎 2周或抗结核 1个月无效的肺部微小病灶 。
Objective: To review the experience of using minimally invasive technique in diagnoses and treatment of the lung mini-nodule. Methods: From July 1994 to December 1998, 26 patients were treated surgically for lung mini nodules. All these nodules were less than 13 mm ,and were discovered by CT scan and X-ray, reviewed by mini-invasive wedge resection. Diagnosis was established by pathology frozen section. If the lesion were malignant, the lung and lymph nodes would be radically resected. All lymph nodes were negative. 14 malignant cases did not receive chemotherapy and radiotherapy, 5 malignant cases received 1 to 2 courses chemotherapy. Results: 19 cases (73%) were diagnosed malignant, in stage I. 7 cases (27%) were benign. The accurate rate of the pre-operative diagnosis is 63%. The longest follow up is 56 months, the shortest time is 7 months (mean,25 months). All cases are alive. Conclusion: For the patient who had mini nodule in lung, the nodule should be resected by mini-invasive thoracic surgery for pathological diagnosis and the further radical measure should be considered according to pathology.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2000年第3期144-146,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
基金
广东省科技重点攻关项目 !(970 3 48)
关键词
肺肿瘤
肺部微小结节
胸外科手术
微创伤
Lung neoplasms Lung mini-nodule Pneumonectomy Thoracic surgery
