[用于诊断外围肺结节的先进支气管镜技术]
S Lachkar1, F Guisier2, L Thiberville2
1Department of Pneumology, CHU de Rouen, 76000 Rouen, France.
Revue des maladies respiratoires
|October 5, 2023
概括
通过内镜诊断外围肺结节是很困难的. 本综述涵盖了先进的支气管镜技术,如电磁导航和机器人支气管镜,以实现更安全,更准确的结节诊断和切除.
科学领域:
- 肺部病理学 肺部病理学
- 瘤成像学成像学
- 最少侵入性的手术
背景情况:
- 周围肺结节是具有挑战性的,可以通过内镜诊断.
- 传统方法通常需要侵入性手术或有局限性.
- 胸外超声波具有风险和并发症.
研究的目的:
- 审查当前的支气管镜技术,用于外围肺结节的诊断和切除.
- 为了突出导航支气管镜学的进步.
- 讨论新兴技术,如机器人支气管镜检查.
主要方法:
- 已建立的支气管镜导航技术的概述.
- 强调电磁导航支气管镜检查 (EMN).
- 虚拟支气管镜计划器与辐射内支气管超声波 (EBUS) 的集成.
主要成果:
- 导航性支气管镜检查为外围肺结节诊断提供安全和准确的方法.
- 放射性EBUS的EMN和虚拟支气管检查是关键技术.
- 机器人支气管镜代表着一个重要的创新.
结论:
- 导航性支气管透视已经改善了外围肺结节的管理.
- 电磁网络和辐射EBUS是有价值的工具.
- 机器人支气管镜显示未来应用的希望.
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