Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Amalienstrasse 5, D-69126 Heidelberg, Germany.
Clin Chest Med. 2010 Mar;31(1):87-100, Table of Contents. doi: 10.1016/j.ccm.2009.08.006.
Technologic advances in bronchoscopy continue to improve the ability to perform minimally invasive, accurate evaluations of the tracheobronchial tree and to perform an ever-increasing array of diagnostic, staging, therapeutic, and palliative interventions. The role of both old and new diagnostic bronchoscopy will continue to evolve as further improvements are made in bronchoscopes, accessory equipment, and imaging technologies. The major challenge is the adoption of the many new bronchoscopic techniques into routine clinical practice. There is a need for well-designed studies to delineate the appropriate use of these interventions and to better define their limitations and cost effectiveness.
支气管镜技术的进步不断提高了对气管支气管树进行微创、准确评估的能力,并能开展越来越多的诊断、分期、治疗和姑息性介入操作。随着支气管镜、辅助设备和成像技术的进一步改进,新旧诊断性支气管镜的作用将继续发展。主要的挑战是将许多新的支气管镜技术常规应用于临床实践。需要进行精心设计的研究,以明确这些介入操作的适当用途,并更好地确定其局限性和成本效益。