肺外周病变经支气管镜诊治新进展

Advances in bronchoscopic diagnosis and treatment for peripheral pulmonary lesions

胸部CT的广泛应用使肺外周病变的检出日益增多,快速精准诊断及个体化治疗是需要重点关注的两个方面,这就对各种诊断和治疗技术提出了更高的要求。目前常用的经胸壁诊疗技术中,气胸、出血等并发症发生风险相对较高,而支气管镜技术经自然腔道走行,诊疗方法创伤小,已广泛应用于临床。随着科技的不断发展和进步,支气管镜技术的发展也日新月异。本文将介绍支气管镜技术在肺外周病变诊治方面一些值得期待的新进展。

The detection of peripheral pulmonary lesions has increased gradually with the popularity of CT.Rapid and accurate diagnosis, and individualized treatment are two aspects we need to pay great attention to. These situations also raise higher request for the technique in diagnosis and treatment. At present, the commonly used transthoracic methods can increase the risk of complications such as pneumothorax and bleeding. The newly bronchoscopic approaches for diagnosis and treatment make less injury via natural lumen and have been applied widely in clinics. This review will introduce the worth expecting progress in bronchoscopic diagnosis and treatment for peripheral pulmonary lesions.