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支气管镜对肺外周结节的诊断技术进展

Progress in the Diagnosis of Peripheral Pulmonary Nodules by Bronchoscopy

临床医学前沿 / 2023,5(1)：1-14 / 2023-03-07 271 252

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• 作者： 宿仕民¹²      徐重阳³      张才擎¹²     
• 单位：

  1．山东大学，济南； 
  2．山东省耳鼻喉医院，济南； 
  3．济南市槐荫人民医院，济南
  

• 关键词： 肺外周结节；支气管镜；超细支气管镜（UTB）；支气管超声（EBUS）；虚拟 支气管镜导航（VBN）；电磁导航支气管镜（ENB）；机器人辅助支气管镜（RAB）
• Peripheral pulmonary nodules; Bronchoscope; Ultra-bronchoscope (UTB); Real-time small probe ultrasonic bronchoscope (REBUS); Virtue bronchoscope navigation (VBN); Electromagnetic navigation bronchoscope (ENB); Robot-assisted bronchoscope (RAB)
• 摘要： 随着社会经济水平的发展、全民体检意识的增强以及低剂量螺旋CT检查的普及， 肺外周结节的检出率越来越高，对肺结节的精准组织采样提出了越来越高的要求，近年来，出现了很多新型支气管镜检查技术，这些新技术中，超细支气管镜（UTB）、实时小探头超声支气管镜（REBUS）、导航支气管镜（包括虚拟支气管镜导航 VNB 和电磁导航支气管镜 ENB）和机器人辅助支气管镜（RAB） 是典型代表，各自具有独特的技术特点和优势，准确地掌握其技术特征会对提高肺结节尤其是肺外周结节的组织采样准确率提供极大帮助。
• With the development of social and economic level, the enhancement of national awareness of physical examination and the popularization of lowdose spiral CT examination, the detection rate of peripheral pulmonary nodules is getting higher and higher, which puts forward higher and higher requirements for accurate tissue sampling of pulmonary nodules. In recent years, many new techniques have appeared, among which, Ultra-bronchoscope (UTB), realtime small probe ultrasonic bronchoscope (REBUS), navigation bronchoscope (including virtual bronchoscope navigation VNB and electromagnetic navigation bronchoscope ENB) and robot-assisted bronchoscope (RAB) are typical representatives, and each has its own unique technical characteristics and advantages. Accurate grasp of the technical characteristics of lung nodules, especially peripheral pulmonary nodules, will greatly help to improve the accuracy of tissue sampling.
• DOI： https://doi.org/10.35534/fcm.0501001
• 引用： 宿仕民，徐重阳，张才擎．支气管镜对肺外周结节的诊断技术进展［J］．临床医学前沿，2023，5 （1）：1-14．