支气管镜检查在肺移植受者管理中的作用。

The role of bronchoscopy in the management of lung transplant recipients.

作者信息

Wahidi Momen M, Ernst Armin

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University Medical Center, 143-B Bell Building, Box 3683, Durham, NC 27710, USA.

出版信息

Respir Care Clin N Am. 2004 Dec;10(4):549-62. doi: 10.1016/j.rcc.2004.06.008.

DOI:10.1016/j.rcc.2004.06.008

PMID:15585182

Abstract

Bronchoscopy is an integral piece in the complex multidisciplinary approach to the care of lung transplant recipients. Although the use of surveillance bronchoscopies is controversial, bronchoscopy undoubtedly provides valuable information in patients with respiratory symptoms or functional decline. Therapeutic bronchoscopic interventions offer effective and safe therapy for complications of anastomotic sites. Further research is needed to address critical questions regarding the role of bronchoscopy in this selected patient population. The objectives of the research should be to increase the yield of bronchoscopy, improve its safety, and decrease procedure-related discomfort. Only randomized, multicenter clinical trials with full commitment from lung transplant centers can accomplish these goals.

摘要

支气管镜检查是肺移植受者复杂多学科护理方法中不可或缺的一部分。尽管监测性支气管镜检查的应用存在争议，但支气管镜检查无疑能为有呼吸道症状或功能下降的患者提供有价值的信息。治疗性支气管镜干预为吻合口部位的并发症提供了有效且安全的治疗方法。需要进一步研究来解决关于支气管镜检查在这一特定患者群体中的作用的关键问题。该研究的目标应该是提高支气管镜检查的阳性率，提高其安全性，并减少与操作相关的不适。只有在肺移植中心全力参与的随机、多中心临床试验才能实现这些目标。