Paradis Tyler J, Dixon Jennifer, Tieu Brandon H
Department of Anesthesiology, Oregon Health and Science University, Portland, Oregon, USA.
Division of Cardiothoracic Surgery, Oregon Health and Science University, Portland, Oregon, USA.
J Thorac Dis. 2016 Dec;8(12):3826-3837. doi: 10.21037/jtd.2016.12.68.
Endoscopy of the airway is a valuable tool for the evaluation and management of airway disease. It can be used to evaluate many different bronchopulmonary diseases including airway foreign bodies, tumors, infectious and inflammatory conditions, airway stenosis, and bronchopulmonary hemorrhage. Traditionally, options for evaluation were limited to flexible and rigid bronchoscopy. Recently, more sophisticated technology has led to the development of endobronchial ultrasound (EBUS) and electromagnetic navigational bronchoscopy (ENB). These technological advances, combined with increasing provider experience have resulted in a higher diagnostic yield with endoscopic biopsies. This review will focus on the role of bronchoscopy, including EBUS, ENB, and rigid bronchoscopy in the diagnosis of bronchopulmonary diseases. In addition, it will cover the anesthetic considerations, equipment, diagnostic yield, and potential complications.
气道内镜检查是评估和管理气道疾病的一项重要工具。它可用于评估多种不同的支气管肺部疾病,包括气道异物、肿瘤、感染性和炎症性疾病、气道狭窄以及支气管肺部出血。传统上,评估方法仅限于可弯曲支气管镜检查和硬质支气管镜检查。最近,更先进的技术推动了支气管内超声(EBUS)和电磁导航支气管镜(ENB)的发展。这些技术进步,再加上医疗人员经验的增加,使得内镜活检的诊断率更高。本综述将重点关注支气管镜检查(包括EBUS、ENB和硬质支气管镜检查)在支气管肺部疾病诊断中的作用。此外,还将涵盖麻醉注意事项、设备、诊断率及潜在并发症。