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经支气管镜腔内诊断肺外周结节技术及进展 |
官振标1,张艺菲1,2,田森1,3,沈夏平4,张伟1,董宇超1,白冲1,黄海东1* |
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(1. 海军军医大学(第二军医大学)第一附属医院呼吸与危重症医学科, 上海 200433; 2. 上海理工大学健康科学与工程学院, 上海 200093; 3. 中国人民解放军联勤保障部队906医院呼吸与危重症医学科, 宁波 315040; 4. 海军军医大学(第二军医大学)第一附属医院影像医学科, 上海 200433 *通信作者) |
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摘要: |
肺周围型病变,包括肺外周结节,是常见的肺部问题。随着肺结节患者的增加,对组织取样的需求也随之增加。安全而精准的活检技术用于鉴别病变良、恶性对患者非常有益。电子支气管镜技术是近几十年来诊断肺周围型病变的活检技术之一,各种引导技术,例如径向超声支气管镜和虚拟支气管镜导航已被证实能改善常规支气管镜的性能。本文对有关先进支气管镜技术的现有研究进行综述,并探讨先进支气管镜技术在肺外周结节诊断中的应用价值。 |
关键词: 肺周围型病变 支气管镜 微创诊断 介入肺脏病学 导航支气管镜 机器人支气管镜 |
DOI:10.16781/j.CN31-2187/R.20230565 |
投稿时间:2023-10-15修订日期:2024-04-07 |
基金项目: |
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Interventional diagnostic bronchoscopy for peripheral pulmonary nodules: progress |
GUAN Zhenbiao1,ZHANG Yifei1,2,TIAN Sen1,3,SHEN Xiaping4,ZHANG Wei1,DONG Yuchao1,BAI Chong1,HUANG Haidong1* |
(1. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China; 2. School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China; 3. Department of Respiratory and Critical Care Medicine, No. 906 Hospital of Joint Logistic Support Force of PLA, Ningbo 315040, Zhejiang China; 4. Department of Radiology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China *Corresponding author) |
Abstract: |
Peripheral pulmonary lesions (PPL), including peripheral pulmonary nodules, are common lung problems. As the increase of patients with lung nodules, the demand for tissue sampling also increases. Safe and accurate biopsy techniques are very important for patients to identify benign and malignant lesions. Electronic bronchoscopy is one of the biopsy techniques for the diagnosis of PPL in recent decades. Various guiding techniques, such as radial probe endobronchial ultrasound and virtual navigation bronchoscope, have been proved to improve the performance of conventional bronchoscopy. This paper aims to provide an review of the available data on advanced bronchoscopic techniques and explore their application in diagnosing PPL. |
Key words: peripheral pulmonary lesions bronchoscopy minimally invasive diagnosis interventional pulmonology navigational bronchoscopy robotic bronchoscopy |