Interventional Respiratory Unit, Department of Respiratory Medicine, Galway University Hospitals, Galway 91 YR71, Ireland.
Department of Respiratory Medicine, Level 6, Derriford Hospital, Derriford Road, Plymouth, PL6 8DH, UK.
Clin Chest Med. 2018 Mar;39(1):149-167. doi: 10.1016/j.ccm.2017.11.011.
Interventional pulmonology has grown significantly over the last 2 decades and is now seen as an essential component in thoracic oncology care. The rigid bronchoscope occupies a central role in this specialty and offers many important advantages over the flexible scope when performing therapeutic procedures on central airways. Although stenting practices have evolved, it is generally accepted that stents offer an important treatment option for selected patients with benign and malignant airway diseases. This article discusses rigid bronchoscopy and stenting, future challenges, complications of the procedure and stents, and future directions.
介入肺脏病学在过去的 20 年里有了显著的发展,现在被认为是胸部肿瘤学治疗的一个重要组成部分。硬性支气管镜在这个专业中占据核心地位,在对中央气道进行治疗性操作时,它比软性支气管镜具有许多重要优势。虽然支架放置技术已经发展,但一般认为支架为良性和恶性气道疾病的特定患者提供了一种重要的治疗选择。本文讨论了硬性支气管镜和支架、未来的挑战、操作和支架的并发症以及未来的方向。