摘要
肺结节是呼吸系统中较为常见疾病之一,肺部影像上常表现为各种大小、边缘清楚或模糊、直径不超过3厘米的局灶性圆形致密、磨玻璃或混杂影,中医学多归属为“肺积”“息贲”“窠囊”“痰核”“肺痹”等范畴。近些年来,伴随着高分辨率CT的不断普及和民众体检意识的不断提高,肺结节的检出率也随之增加,关于肺结节的中西医相关研究亦不断深入,为肺结节的临床诊断和治疗提供重要的参考价值。现代医学对于肺结节处理方式主要是根据结节风险评估程度制定不同时间的随访策略,必要时可予活检穿刺或手术切除治疗。而相比随访期间的无干预模式或部分抗菌药物盲目滥用,中医药参与为肺结节的治疗提供一条良好干预途径。文章系统总结并梳理肺结节的中医病名、主要病因以及中医临证理论,并对肺结节进一步总结和展望,以更好发挥中医药干预治疗肺结节的优势。
Pulmonary nodules are one of the more common diseases in the respiratory system,and the lung images often appear as focal circular dense,ground-glass or mixed shadows of various sizes,clear or blurred edges,and no more than 3 cm in diameter.In recent years,with the continuous popularization of high-resolution CT and the continuous improvement of people's awareness of physical examination,the detection rate of pulmonary nodules has also increased,and the research on pulmonary nodules related to traditional Chinese and western medicine has also been deepened,providing important reference value for the clinical diagnosis and treatment of pulmonary nodules.Modern medicine mainly formulates follow-up strategies for pulmonary nodules at different times according to the degree of nodule risk assessment,and biopsy or surgical resection if necessary.Compared with the non-intervention mode or the blind abuse of some antimicrobial drugs during the follow-up period,the participation of traditional Chinese medicine provides a good way to intervene for pulmonary nodules,so this paper systematically summarizes and sorts out the traditional Chinese medicine disease names,main causes and clinical theories of pulmonary nodules,and further summarizes and prospects for pulmonary nodules,so as to better play the advantages of Traditional Chinese Medicine intervention in the treatment of pulmonary nodules.
作者
郁文越
朱佳
张传名
陈永昶
YU Wenyue;ZHU Jia;ZHANG Chuanming;CHEN Yongchang(Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu,China;Yangzhou Affiliated Hospital of Nanjing University of Chinese Medicine,Yangzhou 225009,Jiangsu,China)
出处
《实用中医内科杂志》
2024年第11期20-23,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
国家中医药管理局项目(NZYJDMF-2018003)
国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)
江苏省中医药科技发展计划项目(MS2022116)
江苏省老年健康科研项目(LKM2023049)
第四批江苏省名老中医药专家传承工作室建设项目(苏中医科教[2021]7号)。
关键词
肺结节
病名
病因
中医理论
研究进展
pulmonary nodules
disease names
etiology
theories of traditional Chinese medicine
research progress
