Rafanan A L, Mehta A C
Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Semin Respir Crit Care Med. 2000;21(5):405-20. doi: 10.1055/s-2000-9408.
Advancements in technology and experience have pushed forth the bronchoscope's increasing role in the struggle against lung cancer. The bronchoscope is useful in the following situations: diagnosis, staging, treatment of endobronchial lesions for palliation or cure, early detection of lung cancer, and research. In this article, we provide a concise overview of several endoscopic modalities (i.e., transbronchial needle aspiration, laser photoresection, photodynamic therapy, electrocautery, cryotherapy, brachytherapy, stents, autofluorescence bronchoscopy, and gene therapy). Basic principles, technique, indications, outcome data, and associated complications of each modality are discussed.
技术和经验的进步推动了支气管镜在对抗肺癌斗争中发挥越来越重要的作用。支气管镜在以下情况中很有用:诊断、分期、治疗支气管内病变以缓解症状或治愈疾病、早期发现肺癌以及开展研究。在本文中,我们简要概述了几种内镜诊疗方法(即经支气管针吸活检、激光光凝切除术、光动力疗法、电烙术、冷冻疗法、近距离放射疗法、支架置入、自发荧光支气管镜检查和基因治疗)。讨论了每种方法的基本原理、技术、适应证、疗效数据及相关并发症。