非小细胞肺癌术前纵隔淋巴结分期诊断的现状分析

被引：5

作者：

万人安

尹逊亮

魏煜程

机构：

[1] 青岛大学附属医院胸外科

来源：

中国胸心血管外科临床杂志 | 2015年 / 22卷 / 07期

关键词：

肺癌; 纵隔; 淋巴结; 分期;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

摘要：

非小细胞肺癌(non-small cell lung cancer,NSCLC)术前纵隔淋巴结分期可分为无创性影像学分期和有创性外科学分期。无创性分期技术对纵隔淋巴结术前分期效能较差。其中计算机断层成像(CT)提供了良好的解剖图像已作为常规检查,磁共振成像(MRI)与磁共振扩散加权成像(DWI)目前并未得到普遍应用,电子发射计算机体层显像-X线计算机体层成像(PET-CT)作为最准确的无创分期检查仍有较高的假阳性率及假阴性率。有创性分期技术对纵隔淋巴结分期安全有效。其中纵隔镜术目前作为纵隔淋巴结分期诊断的金标准,超声内镜针吸活检术及电视胸腔镜手术(VATS)亦在临床有效应用。ⅢA期肺癌诱导治疗后的纵隔淋巴结再分期较为困难,首选有创性分期方法。

引用

页码：691 / 695

页数：5

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