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id=\"material_title\">早期肺癌胸腔镜手术适用指征通俗解读\u003C/h2>\n\n\u003Cdiv class=\"mdjs-section\">\n  \u003Cdiv class=\"mdjs-subtitle-bg\">\n    \u003Ch3>出现体检异常别忽视，早期肺癌手术不是人人都适合\u003C/h3>\n  \u003C/div>\n  \u003Cp>\n    很多人在体检时发现肺结节、就着急做手术，其实早期肺癌的胸腔镜手术适用指征，远比想象的复杂。今天咱们专门聊聊早期肺癌，什么情况下胸腔镜手术才真正适合，不是结节一发现就要动刀。作为心胸外科医生，我想用简单的话陪大家好好聊聊。\u003C/p>\n\u003C/div>\n\n\u003C!-- 案例缺省（未上传） -->\n\n\u003Cdiv class=\"mdjs-section\">\n  \u003Cdiv class=\"mdjs-subtitle-bg\">\n    \u003Ch3>早期肺癌胸腔镜手术的三个适用条件\u003C/h3>\n  \u003C/div>\n  \u003Col class=\"mdjs-ol\">\n    \u003Cli>\n      \u003Cb>肿瘤大小和位置：\u003C/b>\n      早期肺癌指的是肿瘤直径一般小于3厘米，而且没有明显侵犯周围组织。胸腔镜手术适合单个、周围型、离大血管远的小肿瘤。如果肿瘤太大或者紧贴主要血管，风险就高不少。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>无淋巴结转移：\u003C/b>\n      影像学检查，比如CT、PET-CT显示没有淋巴结转移，才考虑胸腔镜微创切除。要是发现淋巴结肿大或者转移，手术方案就要调整或增加其他治疗。\n    \u003C/li>\n    \u003Cli>\n      \u003Cb>身体条件能承受手术：\u003C/b>\n      患者的肺功能、心脏状况要慢慢评估。比如慢性阻塞性肺病、严重冠心病的人，做胸腔镜手术风险比较高。有些人明明肿瘤不大，但身体条件不允许，就不能一味追求微创。\n    \u003C/li>\n  \u003C/ol>\n  \u003Cp>\n  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