| 引用本文： |
-
胡丰庆,李国庆,李惠民,等.小肺癌的影像学表现与外科治疗[J].同济大学学报（医学版）,2013,34(4):83-85. [点击复制]
- HU Feng-qing,LI Guo-qing,LI Hui-min,et al.Radiological findings and surgical treatment of small lung cancer[J].同济大学学报（医学版）,2013,34(4):83-85. [点击复制]
|
|
| 摘要: |
| 目的回顾性分析小肺癌的早期诊断，探讨小肺癌临床处理方案。方法2005年1月至2011年12月的39例小肺癌患者纳入研究，全部病例术前均进行了胸部CT检查和后前位胸片检查。全部病例作肺叶切除及淋巴结清扫术（3组及以上），其中21例胸腔镜辅助小切口、18例胸腔镜。所有标本均送术中冰冻。术后随访6～90个月。结果术后病理显示腺癌19例，肺泡细胞癌14例，鳞癌7例。清扫的淋巴结均未见肿瘤转移。4例失访，2例死于其他疾病，1例术后第6年肿瘤复发，其余32例均存活并未见肿瘤转移或复发。结论小肺癌诊断主要依据CT，表现为边界清楚的孤立肺结节并常含部分磨玻璃密度，常规抗炎治疗无变化。胸腔镜或胸腔镜辅助小切口手术是小肺癌治疗的良好方式，值得推荐应用。 |
| 关键词: 肺肿瘤 外科治疗 胸腔镜辅助手术 胸腔镜辅助小切口手术 |
| DOI：10.3969/j. issnl008 —0392.2013.04.020 |
|
| 基金项目: |
|
| Radiological findings and surgical treatment of small lung cancer |
| HU Feng-qing,LI Guo-qing,LI Hui-min,MEI Ju,WANG Ming-song,XIAO Hai-bo |
| (Dept. of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200092, China;Dept. of Radiology, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200092, China)) |
| Abstract: |
| Objective To review the early diagnose and treatment of small size lung cancer. Methods From January 2005 to December 2011, 39 cases of small size lung cancer detected by chest CT or chest film underwent pulmonary lobectomy and lymph node dissection, including 21 cases treated by video assisted thoracoscopic surgery （VATS） and 18 cases treated by video-assisted minithoracectomy （VATS）. The surgical specimens were checked by frozen-section pathological examination during operation. The patients were followed-up for 6 -90 months. Results Out of 39 cases, 19 cases were adenocarcinoma, 14 were alveolar cell carcinoma and 7 were squamous cell carcinoma. No metastasis was detected in dissected lymph nodes. During the follow up, 4 cases lost,2 died of other diseases, 1 had tumor recurrence 6 years after operation and the remaining 32 cases were alive. Conclusion Based on early diagnosis, VATS and VAMT will be the feasible choice for treatment of small lung cancer. |
| Key words: small size lung cancer surgical treatment VATS VAMT |
