肺结节的管理策略
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i6.17021
Abstract
肺结节一般发病隐匿，在健康体检中经常被发现，且由于胸部CT检查普及，近年来肺结节的检出率逐年攀升。肺结节是指影像学上表现为直径≤3cm的类圆形、局灶性、密度增高的磨玻璃样、混杂磨玻璃样或实性的肺部阴影[1]，可表现为孤立单发或多发性。肺结节是一种影像学表现，是一类疾病的概称，其致病因素有良性结节和恶性结节。随着肺结节的检出率的提高以及其与肺癌早筛查、早诊断、早诊断息息相关，不仅引起医务人员的重视，还引起了体检发现肺结节人群的广泛关注。其管理是一个动态、个体化的过程，核心在于基于风险的评估和规律的随访。通过科学的策略，既能避免对良性结节的过度治疗，也能及时捕捉和处理早期肺癌，从而获得最佳的治疗效果。
Keywords
肺结节；磨玻璃样；实性；良性；恶性
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