目的：观察肺部磨玻璃样结节( ground-glass nodule ,GGN)的影像学特点、病理类型和手术效果。方法收集上海肺科医院因为GGN住院手术的完整病历110例。观察病人的性别、年龄、入院方式、平均住院时间、胸部X线片及胸部CT影像学特点、肿瘤标志物检查情况、气管镜检查情况、手术方式、病理类型分布、手术并发症等。结果 GGN( ground-glass nodule 磨玻璃样结节)患者多无呼吸道症状和体征,肿瘤标志物检查阳性率低,气管镜检查阳性低,胸片检查漏诊率高,胸部CT可有效发现肺部隐蔽病灶,病理检查恶性率高,以腺癌为主,电视辅助胸腔镜手术创伤小,手术并发症少。结论胸部CT可作为常规体检项目,肺部高度疑癌磨玻璃样结节要尽早行电视辅助胸腔镜手术,以提高早期肺癌的治愈率。%Objective To observe the imaging features, pathological types and surgical effect of pulmonary ground-glass nodule ( GGN) . Methods The complete clinical record of 110 GGN cases was collect in Shanghai pul-monary hospital to analyze their gender, age, hospital way, the results of the average duration of hospital stay, chest X-ray, chest CT, tumor markers, bronchoscope examination results, way of operation and pathological type, and sur-gical complications. Results The patients with GGN had no obvious respiratory symptoms and body signs, and their postive rate of tumor standards test and bronchoscope examination was low. The missed diagnostic rate of chest X-ray was high. But chest CT could effectively find the hidden lung lesion. The results of pathologic examination were ma-lignant, mainly including adenocarcinoma. The trauma of tele-assisted thoracoscope surgery was small, with less com-plications. Conclusion Chest CT can be used a common physical exam for highly suspected lung cancer GGN, and tele-assisted thoracoscope surgery should be applied as soon as possible.
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