Division of Respiratory Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada.
Clin Chest Med. 2010 Mar;31(1):49-63, Table of Contents. doi: 10.1016/j.ccm.2009.08.003.
The past decade has witnessed the application of many advanced bronchoscopic modalities to improve access to the solitary pulmonary nodule (SPN). Although many of the techniques are applied on a regular basis by bronchoscopists, which technique-or which combination of techniques-will offer the best performance and cost-effectiveness remains to be determined. The authors anticipate that bronchoscopic approaches to the SPN will continue to proliferate as technologic advances and clinical data accumulate. Research should focus on combinations of techniques, cost-effectiveness, and incorporation of these tools in diagnostic algorithms for lung nodules/masses.
过去十年见证了许多先进的支气管镜技术在提高孤立性肺结节(SPN)可及性方面的应用。尽管许多技术已被支气管镜医生常规应用,但哪种技术或哪种技术组合将提供最佳的性能和成本效益仍有待确定。作者预计,随着技术进步和临床数据的积累,支气管镜技术在 SPN 中的应用将继续增加。研究应集中在技术组合、成本效益以及将这些工具纳入肺结节/肿块的诊断算法中。