机器人支气管镜应用进展
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1.南京脑科医院;2.南京市胸科医院

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江苏省自然科学基金


Application progress of robotic-assisted bronchoscopy
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Nanjing Brain Hospital, Nanjing Medical University

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Natural Science Foundation of Jiangsu Province

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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。为了进一步明确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。经皮肺穿刺活检虽然诊断率有所提高,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,较传统支气管镜有更高的诊断率和安全性。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 chest 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, which is difficult to reach by conventional bronchoscopy, and the diagnostic rate and sensitivity are not ideal. Although the diagnostic rate of percutaneous lung biopsy has been improved, it has high complications. Robot-assisted bronchoscopy (RAB) is a new technology for the diagnosis of lung lesions, which improves navigation accuracy, expands the reachable range of the lens, and has the advantages of high accuracy, stability and flexibility, providing higher diagnostic rate and safety than traditional bronchoscopy. RAB can also be used as an interventional platform to combine with the existing ablation therapy for the ablation of lung tumors. With the continuous improvement of science and technology, the application of RAB will be more and more widespread and is the development trend of bronchoscopy.

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  • 收稿日期:2025-01-14
  • 最后修改日期:2025-03-07
  • 录用日期:2025-05-19
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