【摘要】 目的:探讨高危人群肺癌筛查方法及肺部实性、非实性结节的临床处理。材料与方法:采用不同方法进行高危人群肺癌筛查,并与病理诊断结果进行比较。观察高危人群肺癌筛查出的肺部有实性结节和非实性结节的患者的HRCT征象,并观察预后状况。结果:病理诊断结果显示共30例为肺癌患者,采用胸部X线共筛查出肺癌21例,明显少于低剂量螺旋CT筛查的28例。共筛查出35例患者存在结节,包括30例肺癌患者,其中22例为非实性结节,13例为实性结节,共26例患者行手术治疗,其中3例患者术后2个月内死亡,其余24例患者预后良好。结论:低剂量螺旋CT在高危人群肺癌筛查中的应用优势更为明显,肺部实性及非实性结节转变为恶性病灶的可能性极大,临床应高度警惕。更多还原

【Abstract】 Purpose: To explore the screening method of the high-risk group with lung cancer and the clinical treatment of both pulmonary solid and non-solid nodules. Materials and Methods: The high-risk group with lung cancer was screened by different methods and compared with the pathological diagnosis. During the screening,HRCT symptom of the patients with pulmonary solid and non-solid nodules was observed. The prognosis condition was also observed. Results: According to the result of pathological diagnosis,30 patients were diagnosed with lung cancer. 21 were screened by chest x-ray,which was apparently fewer than 28 by spiral computed tomography with low dosage. 35 patients were screened out with solid nodules including the 30 patients with lung cancer,among which 22 patients got pulmonary non-solid nodules and 13 patients got pulmonary solid nodules. 26 patients were given operative treatment,among which 3 patients died two months after the treatment and the rest of the 24 patients’ prognosis was quite good. Conclusion: The application advantage of low-dose spiral CT examination is significant in screening of the high-risk group with lung cancer. Pulmonary solid and non-solid nodules can easily turn into malignant lesion,which should be given heightened alertness in clinic.更多还原