支气管镜肺体积减小与内支气管:关于患者选择和周围程序管理的实际方面的一致性声明
Momen M Wahidi1, Robert J Lentz2,3, Gerard J Criner4
1Division of Pulmonary and Critical Care, Northwestern Feinberg School of Medicine, Chicago, Illinois, USA.
Respiration; international review of thoracic diseases
|September 15, 2025
概括
使用肺内膜的支气管镜肺体积减小 (BLVR) 改善了肺气的症状. 这项研究为BLVR程序中患者选择和管理提供了专家共识建议.
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
- 呼吸系统医学 呼吸系统医学
背景情况:
- 晚期肺气与高通胀影响肺功能和生活质量.
- 支气管管内膜 (EBV) 植入用于支气管镜肺体积减小 (BLVR) 是一种治疗选择.
- 目前BLVR患者选择和管理指南缺乏共识.
研究的目的:
- 建立专家共识,为使用内支气管的BLVR的实际方面提出建议.
- 为BLVR患者的患者选择和周边程序管理提供指导.
- 在BLVR中确定需要进一步研究的领域.
主要方法:
- 召集了一个国际专家小组.
- 采用了经过修改的Delphi技术,进行了三轮投票.
- 建议要求达成80%的共识协议门.
主要成果:
- 为BLVR患者的选择和管理制定了21项共识建议.
- 一个建议没有达成共识.
- 两个主题缺乏足够的证据支持具体建议.
结论:
- 共识建议为BLVR程序提供了实际指导.
- 这些建议涉及患者选择和周围程序管理的关键方面.
- 需要进一步的研究来解决BLVR的知识差距.
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