Jin Faguang, Wang Hongwu, Li Qiang, Li Shiyue, Lai Guoxiang, Huang Jianan, Huang Yijiang, Jiang Tao, Bai Chong, Li Shengqing, Li Wangping, Lu Ye, Song Yong, Sun Ruilin, Chen Chengshui, Zhang Jie, Zhang Xiangyan, Zhou Rui, Zhou Xiangdong, Chen Yanwei, Du Yanling, Hu Chengping, Zhou Hongmei
Department of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an 710038, China.
Department of Respiration, Coal General Hospital, Beijing 100028, China.
J Thorac Dis. 2020 May;12(5):1799-1810. doi: 10.21037/jtd-19-2276.
Medical thoracoscopy is a commonly used endoscopic technique for the diagnosis and treatment of respiratory diseases. As an invasive technique, it is mainly used for pleural effusions and pleural diseases that cannot be diagnosed by non-invasive methods. It is also of great application in the diagnosis and treatment of certain other diseases. Any technical operation requires special skills. There must be a learning process for mastering these skills. Although internal thoracoscopic surgery is simple, especially for respiratory specialists who have undergone training for thoracentesis or closed drainage, there are discrepancies in thoracoscopic diagnosis and treatment in hospitals in China; furthermore, the surgical methods are not uniform, and some even lead to serious complications. Therefore, the thoracoscopic diagnostic and treatment technology in China needs to be standardized. The Respiratory Professional Committee of the Integrated Medical Branch of the Chinese Medical Doctor Association invited relevant Chinese experts to formulate this standard after several rounds of discussion.
医学胸腔镜检查是一种常用于诊断和治疗呼吸系统疾病的内镜技术。作为一种侵入性技术，它主要用于无法通过非侵入性方法诊断的胸腔积液和胸膜疾病。它在某些其他疾病的诊断和治疗中也有很大的应用价值。任何技术操作都需要特殊技能。掌握这些技能必然有一个学习过程。尽管内科胸腔镜手术操作简单，尤其是对于经过胸腔穿刺或闭式引流培训的呼吸专科医生来说，但我国医院在胸腔镜诊断和治疗方面存在差异；此外，手术方法不统一，甚至有些会导致严重并发症。因此，我国的胸腔镜诊断和治疗技术需要规范。中国医师协会整合医学分会呼吸专业委员会邀请国内相关专家经过多轮讨论后制定了本标准。
