摘要
多发性肺结节(MPNs)是临床常见病,其发病率逐年攀升,应用人工智能影像辅助诊断系统进行肺结节恶性风险评估,是MPNs管理的重中之重,也是早期肺癌筛查的重大挑战。中医学通过分析肺结节影像学特点、结合个体体质、症状和舌脉等四诊信息,微观与宏观辨治相结合,可促进术后康复,降低肺结节恶变风险。为提高中西医结合诊治肺结节水平,本共识基于GRADE系统及德尔菲法专家调研,结合国内外指南共识,对MPNs的外科手术、局部消融及联合中医药治疗的全程管理进行规范,包括术前中医体质调理、围手术期并发症防治、术后残余结节控制及无症状结节的微观辨证干预,以期通过多学科协作模式最大程度使患者受益,助力MPNs早诊早治。
Multiple Pulmonary Nodules(MPNs)are common clinical conditions,with their incidence showing a year-on-year upward trend.The application of artificial intelligence-assisted imaging diagnostic systems for malignancy risk assessment of pulmonary nodules is not only a core component in the clinical management system of MPNs,but also a key challenge in the current field of early lung cancer screening.The traditional Chinese medicine(TCM)diagnosis and treatment system demonstrates unique advantages in MPNs intervention:by integrating the imaging features of pulmonary nodules,combining TCM four diagnostic information to enhance postoperative recovery process of patients and reduce the risk of malignant transformation of pulmonary nodules.To further improve the level of integrated traditional Chinese and Western medicine(TCM-WM)diagnosis and treatment for MPNs,this consensus takes the GRADE system as the theoretical framework,adopts the Delphi methods for expert investigation and demonstration,and aligns with relevant domestic and international diagnosis and treatment guidelines and consensus contents.It standardizes the whole-process management of MPNs,including surgical intervention,local ablation therapy,and TCM-WM combined treatment.The specific contents indude:Journal of Beijing University of Traditional Chinese Medicine preoperative TCM constitution identification and conditioning plans,perioperative complication prevention and intervention strategies,dynamic monitoring and control measures for postoperative residual nodules,and microscopic syndrome differentiation-based treatment pathways for asymptomatic pulmonary nodules.This consensus aims to maximize the clinical benefits of patients through the optimized application of the multidisciplinary collaboration diagnosis and treatment model,and provide practical guidance for promoting the early diagnosis and treatment of MPNs.
作者
《多发性肺结节中西医结合诊疗专家共识》编写组
北京中医药大学东直门医院肺病优势专科联盟
王洪武
张晓梅
岳园
李磊
杨天舒
Drafting Group of Expert Consensus for Multiple Pulmonary Nodules in Treatment with Integrated Chinese and Western Medicine;Dongzhimen Hospital Alliance of Dominant Specialty in Lung Diseases,Beijing University of Chinese Medicine
出处
《北京中医药大学学报》
北大核心
2025年第11期1619-1628,共10页
Journal of Beijing University of Traditional Chinese Medicine
基金
首都卫生发展科研专项项目(No.2020-2-4202)
北京中医药大学东直门医院临床研究和成果转化能力提升试点项目(No.DZMG-GLZH-23002)
北京中医药大学揭榜挂帅项目(No.2024-JYB-JBZD-009)。
关键词
多发性肺结节
中西医结合
专家共识
微创治疗
早期肺癌防治
multiple pulmonary nodules
integrated traditional Chinese and western medicine
expert consensus
minimally invasive treatment
early diagnosis and treatment of lung cancer
