Queen Elizabeth Hospital, Birmingham, UK.
Thorax. 2011 Nov;66(11):1014-5. doi: 10.1136/thoraxjnl-2011-201052.
This new guideline covers the rapidly advancing field of interventional bronchoscopy using flexible bronchoscopy. It includes the use of more complex diagnostic procedures such as endobronchial ultrasound, interventions for the relief of central airway obstruction due to malignancy and the recent development of endobronchial therapies for chronic obstructive pulmonary disease and asthma. The guideline aims to help all those who undertake flexible bronchoscopy to understand more about this important area. It also aims to inform respiratory physicians and other specialists dealing with lung cancer of the procedures possible in the management and palliation of central airway obstruction. The guideline covers transbronchial needle aspiration and endobronchial ultrasound-guided transbronchial needle aspiration, electrocautery/diathermy, argon plasma coagulation and thermal laser, cryotherapy, cryoextraction, photodynamic therapy, brachytherapy, tracheobronchial stenting, electromagnetic navigation bronchoscopy, endobronchial valves for emphysema and bronchial thermoplasty for asthma.
本新指南涵盖了使用软性支气管镜的介入性支气管镜的快速发展领域。它包括使用更复杂的诊断程序，如支气管内超声，用于缓解因恶性肿瘤导致的中央气道阻塞的干预措施，以及最近为慢性阻塞性肺疾病和哮喘开发的支气管内治疗方法。本指南旨在帮助所有进行软性支气管镜检查的人更好地了解这一重要领域。它还旨在告知处理肺癌的呼吸内科医生和其他专家，了解在管理和缓解中央气道阻塞方面可能采取的程序。本指南涵盖了经支气管针吸活检和支气管内超声引导下经支气管针吸活检、电烙/电凝、氩等离子凝固和热激光、冷冻疗法、冷冻提取、光动力疗法、近距离放射治疗、气管支气管支架置入、电磁导航支气管镜、肺气肿支气管内阀门和哮喘支气管热成形术。
