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机器人辅助支气管检查,以减小巨型肺囊的体积:一个案例报告

Yalun Li^1,2, Mengzhen You^1,2, Enguo Chen¹

¹Department of Pulmonary and Critical Care Medicine, Regional Medical Center for National Institute of Respiratory Disease, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China.

International journal of chronic obstructive pulmonary disease

|December 29, 2025

概括

形状感应机器人辅助支气管检查 (ssRAB) 在一个COPD患者中成功地减少了巨型肺气球 (GEB). 这种新的方法为GEB提供了潜在的新疗法,改善呼吸短促.

科学领域:

肺部病理学肺部病理学
医疗技术医疗技术医学技术
干预性支气管镜检查是一种干预性支气管镜检查.

背景情况:

巨型肺囊 (GEB) 显著影响COPD患者的肺功能和生活质量.
以前的治疗方法,如内支气管 (EBVs) 有局限性,包括潜在的并发症,如肺炎.
对GEB的外科选择可能是侵入性的,并带有重大风险.

研究的目的:

报告使用形状感应机器人辅助支气管镜 (ssRAB) 减少GEB体积的第一个成功案例.
评估ssRAB对GEB治疗的可行性和初步结果.
评估ssRAB引导的布拉闭塞对患者症状和肺体积的影响.

主要方法:

一名70岁的男性患有COPD和症状的GEB接受了ssRAB.
该程序涉及精确的弹孔,气体吸入和医疗粘合剂注射以在全身麻醉下关闭.
形状感应技术引导机器人支气管镜进行准确的导航和干预.

主要成果:

ssRAB手术成功进行,导致患者呼吸短促显著改善.
在6个月后的术后CT扫描显示,GEB体积减少了50%.
在ssRAB干预期间或之后没有报告任何直接的并发症.

结论:

ssRAB是一种可行且可能有益的新技术,用于减少GEB的体积.
这一案例证明了ssRAB的潜力,为GEB提供了一个不那么侵入性的治疗选择.
需要进行更大规模的研究来确定ssRAB在GEB管理中的长期疗效和安全性.

关键词:

慢性阻塞性肺病慢性阻塞性肺病减少肺部体积的减少.肺部的气囊 (pulmonary bulla) 是一个肺部气囊.机器人辅助支气管镜检查是一种机器人辅助支气管镜检查.

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