Liu Baodong
Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Zhongguo Fei Ai Za Zhi. 2024 Apr 20;27(4):291-298. doi: 10.3779/j.issn.1009-3419.2024.106.08.
With the popularization of chest computed tomography (CT) lung cancer screening, the detection rate of peripheral pulmonary nodules is increasing day by day. Some patients could make clear diagnoses and receive early treatment by obtaining biopsy specimens. Transbronchial lung biopsy (TBLB) is one of the non-surgical biopsy methods for peripheral pulmonary nodules, which has less trauma and lower incidence of complications compared to percutaneous thoracic needle biopsy (PTNB). However, the diagnostic rate of TBLB is about 70%, which is still inferior to that of PTNB, which is about 90%. Since 2018, robot assisted bronchoscopy systems have been applied in clinical practice. This article reviews their application in further improving the diagnostic rate of peripheral pulmonary nodules by TBLB. .
随着胸部计算机断层扫描(CT)肺癌筛查的普及,外周肺结节的检出率日益提高。一些患者通过获取活检标本得以明确诊断并接受早期治疗。经支气管肺活检(TBLB)是外周肺结节的非手术活检方法之一,与经皮胸穿针吸活检(PTNB)相比,其创伤较小且并发症发生率较低。然而,TBLB的诊断率约为70%,仍低于PTNB的约90%。自2018年以来,机器人辅助支气管镜系统已应用于临床实践。本文综述了它们在进一步提高TBLB对外周肺结节诊断率方面的应用。