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,江苏 南京 210029

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R814.42

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江苏省卫生健康委员会科研重点项目(K2023057)


Influence of pregnancy on the growth of pulmonary ground glass nodules
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Department of Radiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China

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    摘要:

    目的:通过单中心回顾性队列评估妊娠与磨玻璃结节生长之间的关系。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2 mm、固体成分增加2 mm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<6 mm,22个直径6.0~7.9 mm,4个直径8.0~9.9 mm,1个直径≥10 mm。在779 d的中位观察间隔(范围为 337~2 795 d)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直径较小的纯磨玻璃结节生长。因此,育龄期女性患者如有怀孕计划,无需过度担心此类纯磨玻璃结节的生长问题。

    Abstract:

    Objective:To evaluate the relationship between pregnancy and the growth of ground glass nodules(GGNs)through a single-center retrospective cohort analysis. Methods:Clinical and radiologic data of 44 pregnant women who underwent pre-and post- pregnancy chest CT scans due to pulmonary GGNs were retrospectively reviewed. Based on imaging characteristics,the GGNs were divided into the pure GGNs(PGGNs),heterogeneous GGNs(HGGNs),and part solid nodules(PSN). The size of a GGN was determined as the maximum diameter in axial chest CT images,and the observation interval was the time between pre - and post - pregnancy chest CT scans. Growth of a GGN was defined as an increase of 2 mm in the maximum diameter,an increase of 2 mm in the solid composnent,or the appearance of new solid component. Results:Among the 44 pregnant women,70 GGNs were detected, including 66 PGGNs and 4 HGGNs. Of these,43 GGNs had a diameter of < 6 mm,22 were between 6.0 and 7.9 mm,4 were between 8.0 and 9.9 mm,and 1 GGN was ≥10 mm. No growth of pulmonary GGNs was observed at a median observing interval of 779 days (ranging from 337 to 2 795 days). Conclusion:Pregnancy is unlikely to cause the growth of pulmonary PGGNs with a small diameter. Therefore,women of child-bearing age who plan to become pregnant need not be overly concerned about the growth of such GGNs.

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王博煊,徐海,许晓泉,仲艳,陆杰,高叶祺,俞同福.妊娠对肺部磨玻璃结节生长的影响[J].南京医科大学学报(自然科学版),2024,(10):1396-1400

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  • 收稿日期:2024-07-19
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  • 在线发布日期: 2024-10-15
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