多学科协作诊疗模式在肺小结节诊断中的应用

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摘要目的：评价多学科协作（MDT）诊疗模式在肺小结节诊治中的应用效果。方法：回顾性分析MDT诊疗模式运作后肺小结节门诊就诊量变化、小肺癌的检出例数、诊断符合率以及手术数量的变化。结果：MDT诊疗模式运作后肺小结节门诊就诊人数从2012年的1 136例次增加到2014年的4 455例次，小肺癌检出例数由2012年的56例（直径≤1 cm）、106例（直径≤2 cm）增加到2014年的118例（直径≤1 cm）、210例（直径≤2 cm），诊断符合率由2012年的83.4%提高到2014年的91.4%。结论：MDT诊疗模式的应用显著地增加了肺小结节门诊就诊人数，同时有效地提高了小肺癌的检出率及肺小结节诊断符合率。

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	颜波儿
	张永奎
	乐涵波
	陈志军
	张斌杰
	王善军

关键词 ：多学科协作诊疗, 肺小结节, 诊治, 诊断符合率

Abstract：Objective: To evaluate the effect of multidisciplinary team (MDT) pattern applied in diagnosis for small pulmonary nodules. Methods: We retrospectively analyzed changes in the amount of the outpatients for small pulmonary nodules, the cases of detected small-size lung cancer, the rate of diagnostic agreement of small pulmonary nodules and the quantity of surgery for small-size lung cancer after application of the MDT pattern. Results: The number of the outpatients for small pulmonary nodules increased from 1 136 patients in 2012 to 4 455 patients in 2014, and the cases of the detected small-size lung cancer increased from 56 in 2012 to 118 in 2014 with tumor diameter≤1 cm, and from 106 to 210 with diameter≤2 cm, respectively, and the rate of diagnostic agreement raised from 83.4% in 2012 to 91.4% in 2014 after the MDT pattern was applied. Conclusion: Application of the MDT pattern significantly increases the outpatients for small pulmonary nodules. Besides, the small-size lung cancers are detected more efficiently, and the diagnostic accordance rate is accordingly improved.

Key words： multidisciplinary team small pulmonary nodules diagnosis and treatment rate of diagnostic agreement

收稿日期: 2016-04-26

基金资助:浙江省医院协会立项课题（2011ZHA-YZJ313）。

通讯作者: 张永奎，主任医师，硕士生导师，Email：zyk801801@126.com。

作者简介: 颜波儿（1974-），女，浙江舟山人，副主任护师。

链接本文:

https://xb.wmu.edu.cn/CN/ 或 https://xb.wmu.edu.cn/CN/Y2017/V47/I2/136

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