Aravena Carlos, Mehta Atul C
Division of Pulmonary, Allergy and Critical Care, Department of Medicine, Duke University, Durham, North Carolina.
Department of Pulmonary, Allergy, and Critical Care Medicine, Respiratory Institute, Cleveland Clinic. Cleveland, Ohio, USA.
Curr Opin Pulm Med. 2025 Jan 1;31(1):1-10. doi: 10.1097/MCP.0000000000001136. Epub 2024 Nov 2.
The review explores the evolving roles and comparative effectiveness of rigid versus flexible bronchoscopy in interventional pulmonology. This topic is particularly timely due to recent technological advancements and the growing body of literature highlighting the strengths and limitations of each technique.
Recent literature reveals significant advancements in rigid and flexible bronchoscopy, with studies comparing their efficacy, safety profiles, and clinical outcomes. Key themes include improved diagnostic and therapeutic capabilities, procedural innovations, and patient-centered outcomes.
While rigid and flexible bronchoscopies have distinct advantages, their complementary use can enhance patient care. Future research should focus on developing minimally invasive, high-precision bronchoscopic tools, comparative studies to inform evidence-based practice, exploring hybrid approaches that combine the strengths of both techniques, and enhancing patient-centered outcomes through improved procedural protocols, education, and technologies.
本综述探讨硬质支气管镜与软质支气管镜在介入肺脏病学中不断演变的作用及相对有效性。鉴于近期的技术进步以及越来越多强调每种技术优缺点的文献,该主题尤为及时。
近期文献显示硬质和软质支气管镜均有显著进展,有研究比较了它们的疗效、安全性及临床结果。关键主题包括诊断和治疗能力的提高、操作创新以及以患者为中心的结果。
虽然硬质和软质支气管镜各有明显优势,但联合使用可改善患者护理。未来研究应聚焦于开发微创、高精度的支气管镜工具,开展比较研究以指导循证实践,探索结合两种技术优势的混合方法,并通过改进操作流程、教育及技术来提高以患者为中心的结果。