周围肺结节的形状感应机器人辅助支气管镜 (ss-RAB):从中国初始多中心体验的学习曲线和诊断性能
Dan Liu1, Chun Li2, Fangfang Xie3
1Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.
Respiratory research
|January 26, 2026
概括
在中国,形状感应机器人辅助支气管镜 (ssRAB) 在外围肺结节的诊断产量达到90%. 熟练程度很早就达到了,在这个新的环境中证明了安全性和有效性.
科学领域:
- 肺部病理学 肺部病理学
- 医疗机器人 医疗机器人
- 干预性肺病学 干预性肺病学
背景情况:
- 形状感应机器人辅助支气管镜 (ssRAB) 是美国以外的复杂肺结节活检的新兴技术.
- 需要针对非美国医疗保健系统的具体数据来评估ssRAB的结果.
- 这项研究解决了对中国ssRAB的数据需求.
研究的目的:
- 评估中国ssRAB的学习曲线.
- 评估ssRAB对周围肺结节 (PPN) 的诊断性能.
- 确定ssRAB在中国多中心环境中的安全概况.
主要方法:
- 在中国的三个中心对PPN (8-30毫米) 患者的预期招生.
- 由二维光学和辐射EBUS指导的ssRAB程序.
- 诊断产量根据ATS/ACCP标准进行评估;安全和学习曲线进行评估.
主要成果:
- 90名受试者的90个结节进行了活检,诊断收益率为90.0% (ATS/ACCP).
- 结节特征与诊断产量之间没有发现任何关联.
- 低并发症率:1.1%的肺胸部需要胸管;没有严重的出血. 程序时间随着经验的增长而减少.
- 新手操作人员在15例和32例后获得了能力.
结论:
- ssRAB在中国的PPN活检中表现出强大的诊断性能和高安全性.
- 初学者可以在学习曲线的早期就熟练掌握ssRAB.
- 在中国,ssRAB是PPN诊断的可行选择.
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