肺内多发磨玻璃影诊疗的最新进展

Abstract

随着诊断技术的不断发展，肺部磨玻璃结节(Ground-Grass Opacity，GGO)检出率明显增高。其中肺内多发磨玻璃影发病率也呈上升趋势，其成分主要为纯磨玻璃结节(pure GGO, pGGO)。结合多发磨玻璃影的影像学特征以及一些血清学检验可以帮助我们预测其恶性程度，并制定合理的随访策略和治疗方法。针对多发磨玻璃影的治疗，目前以手术治疗为主，但并不是所有的结节都需要同期切除，手术切除范围可以行亚肺叶切除或肺叶切除。还可以运用其他治疗方法例如立体定向消融放射治疗(stereotactic ablative radiotherapy, SABR)等。对于多发磨玻璃影的患者要根据其病情个体化精准治疗，制定合理的随访策略和治疗方式。 With the continuous development of diagnostic techniques, the detection rate of ground-grass opacity (GGO) was significantly higher. The incidence of multiple GGO in the lungs also showed an increasing trend, with the main components of pure glass ginger (pure GGO, pGGO). Combining the imaging features of multiple ground glass shadows and some serological tests can help us predict malignancy and develop appropriate follow-up strategies and treatments. For the treatment of multiple ground glass, the preferred surgical treatment, but not all of the nodules need to resection, surgical resection can be sub-lung lobectomy or lobectomy. Other treatment methods such as stereotactic ablation radiotherapy (SABR) and the like may also be used for patients with multiple GGO according to their individualized treatment of disease, to make a reasonable follow-up strat-egies and treatment.