县级医院肺结节筛查回顾性验分析.docVIP

县级医院肺结节筛查回顾性经验分析 　　摘 要 目的：回顾性总结县级医院肺结节CT筛查经验，以应对肺癌增长的严峻形势。方法：以关键词“CT、胸部、结节”检索2012―2017年县医院放射科PACS（影像归档和通信系统） 的所有肺结节病例并进行分析。结果：6年县医院放射科PACS共诊断报告中发现肺结节17 720人次，肺结节高发的年龄段是41～75岁。对其中1 200名医院职工进行CT体检筛查，发现肺结节139人。其中，磨玻璃结节占30%、半实性结节占19%、实性结节占51%；结节平均直径5.74 mm。已进行胸腔镜手术11例，证实早期肺癌10例、良性1例；继续高危随访9例。结论：规范县级基层医院肺结节的高危筛查，同时做好分级诊疗、双向转诊工作，具有良好的社会效应及经济效益。 中国论文网 /6/viewhtm　　?P键词 肺结节 诊断 计算机体层摄影 筛查 　　中图分类号：R734.2； R730.4 文献标志码：A 文章编号：1006-1533（2018）07-0016-03 　　Retrospective analysis of lung nodule screening in a county hospital 　　YU Binggen1*， WANG Qun1， SUN Heng2， YOU Huimin3（The First People’s Hospital of Jiashan County， Zhejiang province； 1. Department of Interventional Radiology； 2. Department of Thoracic Surgery； 3. Department of Respiration， Zhejiang Jiashan 314100， China） 　　ABSTRACT Objective： To retrospectively summarize CT findings of pulmonary nodules in a county hospital so as to respond the severe situation of lung cancer growth. Methods： All the cases with pulmonary nodules during 2012―2017 were retrieved from PACS system （Picture Archiving and Communication Systems） by searching with key words “CT， chest and nodule” and were analyzed. Results： The results showed that 17 720 cases of pulmonary nodules were found in 6 years， and the age for high incidence of pulmonary nodules was 41～75 years old. Twelve hundred of the hospital staff were screened by CT examination and 139 cases of the pulmonary nodules were found， in which glass nodule accounted for 30%， semi-solid nodule 19% and solid nodule 51%， and the average diameter of the nodules was 5.74 mm. Ten cases of early lung cancer and one case of benign were confirmed by thoracoscopic surgery. There were 9 cases with high risk who needed to be continuously followed up. Conclusion： To standardize the high-risk screening of pulmonary nodules in county level hospitals and meanwhile to do well in grading diagnosis and treatment as well as two-way referral possess good social and economic benefits. 　　KEy WORDS pulmona