机器人支气管镜对肺外周病变活检的研究与应用进展

Research and application progress of robotic bronchoscopy in biopsy of peripheral pulmonary lesions

肺外周病变(PPLs)需进行活检才能明确性质,因其位置远离中央气道并靠近胸膜,为临床诊断带来挑战。机器人支气管镜系统是帮助诊断肺部病变的一种新技术,用于导航、定位、活检及介入治疗,比传统支气管镜更加稳定、准确,并且能到达更远、更细的气道内。机器人支气管镜系统可联合众多检查设备,进一步提高活检准确性,与传统经皮肺穿刺活检相比并发症更少。综述机器人支气管镜发展及应用情况,并对其与介入治疗的结合进行展望,为PPLs活检方式提供更多选择。

That the property of peripheral pulmonary lesions(PPLs) is clarified need conduct biopsy, while it brings challenge for clinical diagnosis because the PPLs position stays away from the central airway and close to the pleura.Robotic bronchoscopy system is a new technique to help the diagnosis for pulmonary lesions, which can be used in navigation, positioning, biopsy and interventional treatment. Compared with conventional bronchoscopy, it is more stable and accurate, and it can reach farther and thinner inside of the airways. Moreover, the robotic bronchoscopy system can combine with many inspection equipment to further improve the accuracy of biopsy. At the same time, it has fewer complications than conventional percutaneous lung puncture biopsy. This article reviewed the development and application of robotic bronchoscopy, and prospected the combination of that and interventional therapy, which can provide more choices for PPLs biopsy method.