妊娠对肺部磨玻璃结节生长的影响
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南京医科大学第一附属医院放射科

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Influence of pregnancy on the growth of pulmonary ground glass nodules
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    摘要:

    目的:旨在通过单中心的回顾性队列评估妊娠是否会导致肺部磨玻璃结节生长。方法:回顾性分析44例因肺部磨玻璃结节行孕前和分娩后胸部CT扫描的妊娠孕妇的临床和影像学资料。根据影像学特征,将磨玻璃结节分为纯磨玻璃结节、异质性磨玻璃结节和部分实性结节。磨玻璃结节的大小定义为胸部CT扫描轴位图像中的最大直径,而观察间隔定义为孕前和分娩后胸部CT检查之间的时间间隔。当磨玻璃结节最大直径增加2mm、固体成分增加2mm或出现新的固体成分时,则被认为磨玻璃结节出现了生长。 结果:在44例病例中,共检出70个磨玻璃结节,其中包括66个纯磨玻璃结节和4个异质性磨玻璃结节。其中43个磨玻璃结节直径小于6mm,22个直径在6.0-7.9mm之间,4个直径在8.0-9.9mm之间,1个直径≥10mm。在779天的中位观察间隔(范围为337至2795天)内,未观察到磨玻璃结节出现生长。结论:妊娠不太可能导致肺部磨玻璃结节生长。因此,育龄期女性患者如有怀孕计划,无需过度担心磨玻璃结节的生长问题。

    Abstract:

    Objective: Whether the pregnancy would lead to the growth of pulmonary ground glass nodules (GGNs) was still unknown. This study aimed to observe whether the pregnancy would result in the growth of pulmonary GGNs or not based on a retrospective cohort in single center. Methods: Clinical and radiologic data of 44 gravidas who underwent pre- and post-pregnancy chest computed tomography (CT) scans due to pulmonary GGNs were retrospectively reviewed. The GGNs were divided into pure GGNs (pGGNs), heterogeneous GGNs (hGGNs) and part solid nodules. The size of the GGNs were determined as the largest diameter in the axial image. The time interval between pre- and post-pregnancy chest CT was defined as the observing interval. Nodule growth is defined as an increase of 2mm in the maximum diameter, an increase of 2mm in solid composition, or the appearance of new solid components. Results: There were 70 GGNs detected in 44gravidas, containing 66 pGGNs and 4 hGGNs. The size of 43 GGNs were less than 6mm in diameter, that of 22 GGNs were between 6.0 and 7.9mm, that of four GGNs were between 8.0 and 9.9mm, and that of one GGN was ≥10mm in diameter. No growth of pulmonary GGNs was observed at a median observing interval of 779 days (range 337 to 2795 days). Conclusions: Pregnancy is unlikely to cause the growth of pulmonary GGNs. The female patients in child-bearing period should not overly worry about the growth of GGNs if they planned to experience a pregnancy.

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  • 收稿日期:2024-08-02
  • 最后修改日期:2024-08-30
  • 录用日期:2024-10-14
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