Interventional Pulmonology, Section of Pulmonary and Critical Care Medicine, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71130, USA.
Interventional Pulmonology, Section of Pulmonary and Critical Care Medicine, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71130, USA.
Clin Chest Med. 2018 Mar;39(1):125-138. doi: 10.1016/j.ccm.2017.11.007. Epub 2017 Dec 14.
Lung nodules are being increasingly detected, particularly with lung cancer screening with low-dose computed tomography. Although the vast majority of lung nodules are benign, many often require tissue diagnosis. Several modalities to obtain diagnostic tissue from peripheral lung nodules are available. Bronchoscopic modalities such as radial ultrasound and electromagnetic navigational bronchoscopy are becoming increasingly used because of their superior safety profile and improving diagnostic yield. Although these modalities continue to become more advanced, newer and complementary technologies appear promising.
肺结节的检出率逐渐增高,尤其是通过低剂量计算机断层扫描进行肺癌筛查。尽管绝大多数肺结节是良性的,但很多肺结节常常需要进行组织诊断。目前有多种方法可以从外周肺结节中获取诊断性组织。支气管镜检查方法,如径向超声和电磁导航支气管镜,因其具有更好的安全性和更高的诊断率而越来越被广泛应用。尽管这些方法不断得到改进,但新技术似乎更有前景。