改善支气管镜检查外围肺病变的诊断策略
Yuji Matsumoto1, Sze Shyang Kho2, Hideaki Furuse3
1Department of Endoscopy, Respiratory Endoscopy Division/Department of Thoracic Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan.
Expert review of respiratory medicine
|August 2, 2024
概括
对外围肺病变 (PPLs) 的诊断性支气管镜现在提供了更好的准确性. 先进的工具和技术提高了诊断产量,使其与PPL的胸前针活检相提并论.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 对于外围肺病变 (PPLs) 的支气管镜检查已经显著发展.
- 由于组合仪器和设备,诊断产量有所改善.
研究的目的:
- 审查PPL患者诊断支气管镜的策略.
- 总结关键仪器和设备的实用性和证据.
- 讨论PPL支气管镜中的未来前景.
主要方法:
- 对诊断支气管镜工具的临床试验和证据的审查.
- 对联合导航,成像和接近技术的分析.
- 对活检技术的评估和现场评估.
主要成果:
- 通过导航,超声波,断层合成和CBCT来达到PPL的精度提高.
- 超薄支气管镜和机器人辅助支气管镜的进展.
- 针吸收和冷活检提供了扩展的诊断选择,产量与胸前针活检相当.
结论:
- 现代的支气管镜检查技术实现了PPL的诊断产量,与胸针活检相美.
- 技术进步正在为跨支气管治疗PPL铺平道路.
- 各种工具的整合提高了PPL的诊断能力.
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