Lee Pyng, Mehta Atul C, Mathur Praveen N
Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore.
Respirology. 2009 Sep;14(7):940-53. doi: 10.1111/j.1440-1843.2009.01617.x.
From the humble beginnings as a mere curiosity, the art of bronchoscopy has progressed at a rapid pace. The millennium ushers in new technologies and refinements in established techniques to facilitate early detection of cancer, precise targeting of pulmonary nodules and infiltrates, near-total staging of the mediastinum with combined endoscopic modalities and more effective palliation of inoperable tumours. Bronchoscopists are faced with an increasing myriad of tools and equipment, each promising to carry out better than the previous. It is opportune to review the complications of established bronchoscopic techniques and how to manage them as well as new complications associated with novel technologies. In this article, we provide a concise overview of diagnostic and therapeutic bronchoscopic modalities, discussion of associated complications and their management strategies.
从最初仅仅作为一种新奇事物开始,支气管镜检查技术已经取得了飞速发展。千禧年带来了新技术以及对现有技术的改进,以促进癌症的早期检测、肺结节和浸润灶的精准定位、通过联合内镜检查手段对纵隔进行近乎全面的分期,以及对无法手术切除的肿瘤进行更有效的姑息治疗。支气管镜检查医生面临着越来越多的工具和设备,每一种都宣称比前一种表现更优。现在是时候回顾一下现有支气管镜检查技术的并发症及其处理方法,以及与新技术相关的新并发症了。在本文中,我们简要概述了诊断性和治疗性支气管镜检查方式,讨论了相关并发症及其管理策略。