机器人支气管镜应用进展
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1.南京医科大学附属脑科医院呼吸内科,江苏 南京 210029 ; 2.南京市胸科医院内镜中心,江苏 南京 210029

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R562

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江苏省自然科学基金(BK20221184)


Application progress of robotic⁃assisted bronchoscopy
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Affiliation:

1.Department of Respiratory Medicine,the Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029 ; 2.Department of Endoscopy,Nanjing Chest Hospital,Nanjing 210029 ,China

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    摘要:

    随着低剂量计算机断层扫描的广泛应用,肺外周病变(peripheral pulmonary lesion,PPL)的检出率正逐年提高。为进一步明确PPL的性质,需对PPL进行组织活检以获得病理诊断。PPL远离中央气道且靠近胸膜,常规支气管镜难以到达,诊断率和灵敏度都不理想。虽然经皮肺穿刺活检诊断率有所提高,但具有较高的并发症。机器人支气管镜(robotic-assisted bronchoscopy, RAB)是用于诊断肺部病变的新技术,提高了导航的精确度,扩大了镜头的可达范围,具有更高的准确性、稳定性、灵活性等优势,较传统支气管镜诊断率更高、安全性更大。RAB还可作为介入平台与现有消融治疗方式结合,对肺部肿瘤进行消融治疗。随着科技的不断完善,RAB的应用会越来越广泛,是未来支气管镜的发展趋势。

    Abstract:

    With the widespread use of low-dose computed tomography,the detection rate of peripheral pulmonary lesions(PPLs)is increasing year by year. Tissue biopsies of PPLs are required to obtain a pathological diagnosis. PPLs are far away from the central airway and close to the pleura,making it difficult to reach with conventional bronchoscopy,resulting in suboptimal diagnostic rates and sensitivity. Although percutaneous lung biopsy has improved diagnostic rates,it has a high rate of complications. Robotic - assisted bronchoscopy(RAB)is a new technology for the diagnosis of lung lesions,improving navigation accuracy,expanding the reach of the lens,and offering advantages of high accuracy,stability and flexibility,leading to higher diagnostic rate and safety compared to traditional bronchoscopy. RAB can also serve as an interventional platform combined with the existing ablation therapy for tumor ablation in the lungs. With continuous technological advancements,the application of RAB will become more widespread and represents the future trend in bronchoscopy development.

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引用本文

陈淑娟,方申存,侯志波.机器人支气管镜应用进展[J].南京医科大学学报(自然科学版),2025,(5):699-706

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  • 收稿日期:2025-01-14
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  • 在线发布日期: 2025-05-18
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