中华胸心血管外科杂志
中華胸心血管外科雜誌
중화흉심혈관외과잡지
Chinese Journal of Thoracic and Cardiovascular Surgery
2012年
4期
227-229
,共3页
仲晨曦%赵珩%澹台冀澄%姚烽%范利民%陈文虎
仲晨晞%趙珩%澹檯冀澄%姚烽%範利民%陳文虎
중신희%조형%담태기징%요봉%범이민%진문호
肺肿瘤%胸腔镜检查%诊断
肺腫瘤%胸腔鏡檢查%診斷
폐종류%흉강경검사%진단
Lung meoplasms%Thoracoscopy%Diagnosis
目的 总结肺单纯性磨玻璃样病灶特点和胸腔镜手术治疗疗效.方法 收集45例胸腔镜手术治疗的肺单纯性磨玻璃样病灶患者的临床资料,回顾性分析患者的性别、年龄、吸烟状况、手术方式、病灶大小、肿瘤组织学类型、淋巴结转移情况和预后.结果 本组患者中女性多于男性(P＜0.05),不吸烟者明显多于吸烟者(P＜0.01).所有患者均采用胸腔镜手术.单发性病灶患者37例,行胸腔镜楔形切除18例,胸腔镜肺叶切除10例,胸腔镜肺段切除9例；多发性病灶患者8例,6例胸腔镜下完全切除所有病灶,2例行胸腔镜活检术.术后病理诊断非典型腺瘤样增生14例,肺泡细胞癌31例,所有患者均无淋巴结转移.肺泡细胞癌直径(15 ±5) mm,非典型腺瘤样增生病灶直径(8±4) mm,差异有统计学意义(P＜0.05).术后随访4个月～6年,患者均生存,接受根治性切除患者均无肿瘤复发及远处转移.结论 单纯性磨玻璃样病灶中多数肺泡细胞癌病灶直径大于非典型腺瘤样增生病灶.胸腔镜亚叶切除术治疗单发肺单纯性磨玻璃样病灶可以取得良好的手术效果.术前行CT引导下辅助定位安全可行.
目的 總結肺單純性磨玻璃樣病竈特點和胸腔鏡手術治療療效.方法 收集45例胸腔鏡手術治療的肺單純性磨玻璃樣病竈患者的臨床資料,迴顧性分析患者的性彆、年齡、吸煙狀況、手術方式、病竈大小、腫瘤組織學類型、淋巴結轉移情況和預後.結果 本組患者中女性多于男性(P＜0.05),不吸煙者明顯多于吸煙者(P＜0.01).所有患者均採用胸腔鏡手術.單髮性病竈患者37例,行胸腔鏡楔形切除18例,胸腔鏡肺葉切除10例,胸腔鏡肺段切除9例；多髮性病竈患者8例,6例胸腔鏡下完全切除所有病竈,2例行胸腔鏡活檢術.術後病理診斷非典型腺瘤樣增生14例,肺泡細胞癌31例,所有患者均無淋巴結轉移.肺泡細胞癌直徑(15 ±5) mm,非典型腺瘤樣增生病竈直徑(8±4) mm,差異有統計學意義(P＜0.05).術後隨訪4箇月～6年,患者均生存,接受根治性切除患者均無腫瘤複髮及遠處轉移.結論 單純性磨玻璃樣病竈中多數肺泡細胞癌病竈直徑大于非典型腺瘤樣增生病竈.胸腔鏡亞葉切除術治療單髮肺單純性磨玻璃樣病竈可以取得良好的手術效果.術前行CT引導下輔助定位安全可行.
목적 총결폐단순성마파리양병조특점화흉강경수술치료료효.방법 수집45례흉강경수술치료적폐단순성마파리양병조환자적림상자료,회고성분석환자적성별、년령、흡연상황、수술방식、병조대소、종류조직학류형、림파결전이정황화예후.결과 본조환자중녀성다우남성(P＜0.05),불흡연자명현다우흡연자(P＜0.01).소유환자균채용흉강경수술.단발성병조환자37례,행흉강경설형절제18례,흉강경폐협절제10례,흉강경폐단절제9례；다발성병조환자8례,6례흉강경하완전절제소유병조,2례행흉강경활검술.술후병리진단비전형선류양증생14례,폐포세포암31례,소유환자균무림파결전이.폐포세포암직경(15 ±5) mm,비전형선류양증생병조직경(8±4) mm,차이유통계학의의(P＜0.05).술후수방4개월～6년,환자균생존,접수근치성절제환자균무종류복발급원처전이.결론 단순성마파리양병조중다수폐포세포암병조직경대우비전형선류양증생병조.흉강경아협절제술치료단발폐단순성마파리양병조가이취득량호적수술효과.술전행CT인도하보조정위안전가행.
Objective To retrospectively investigate the clinical results of video-assisted thoracoscopic surgery for pulmonary pure ground-glass opacity.Methods The clinical data of 45 patients with pGGO underwent video-assisted thoracoscopic surgery were collected.The gender constitution,age,smoking status,surgical procedures,lesion size,histological types of tumor,lymph node metastasis and prognosis were retrospectively analyzed.Results The numbers of females and non-smokers were significantly larger than those of males and smokers.All 45 patients underwent video-assisted thoracoscopic surgery.37 patients of solitary pGGO were all operated with cure intention.27 of the 37 patients received local resection ( wedge resection in 18 or segment resection in 9),and the other 10 patients underwent lobectomy.There are 8 patients of multiple nodes.Amongthese,6 were operated with cure intention,while 2 received VATS biopsy.Pathological examinations after operation revealed that there were 31 cases of bronchioloalveolar carcinoma and 14 cases of atypical adenomatous hyperplasia.And there was no lymph node metastasis.The diameters of bronchioloalveolar carcinoma lesions were significantly longer than those of atypical adenomatous hyperplasia lesions( P ＜ 0.05 ).Patients were followed up for 4 months to 6 years,and all survived without local recurrence and distant metastasis.Conclusion The diameters of bronchioloalveolar carcinoma lesions are longer than those of atypical adenomatous hyperplasia lesions.Video-assisted thoracoscopic sublobectomy for pulmonary pure ground-glass opacity may achive excellent clinical results.Computed tomography-guided localization is a useful,safe procedure.
