Karir Ashish, Shah Pallav L, Orton Christopher M
National Heart and Lung Institute, Dovehouse Street, Imperial College London, London SW3 6LY, UK; Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK.
National Heart and Lung Institute, Dovehouse Street, Imperial College London, London SW3 6LY, UK; Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK.
Clin Med (Lond). 2025 May;25(3):100321. doi: 10.1016/j.clinme.2025.100321. Epub 2025 May 5.
The emergent field of interventional bronchoscopy provides an alternative approach for the diagnosis and management of a range of respiratory conditions. Within malignant disease, robotic navigational bronchoscopy provides a stable platform to sample small and difficult to reach pulmonary nodules, while malignant central airway obstruction can be managed through transcopic stent insertion. A range of therapeutic modalities have been developed for benign disease, which provide alternatives to standard therapy, particularly in the context of endobronchial valves for chronic obstructive pulmonary disease, and bronchial thermoplasty for asthma, while transbronchial cryoexcision lung biopsy offers a non-surgical option for undiagnosed interstitial lung disease. With a rich pipeline of technology being developed through robust clinical trial processes, the field of interventional bronchoscopy will continue to grow to become an invaluable asset, not only to the field of respiratory medicine, but to the general physician.
介入支气管镜检查这一新兴领域为一系列呼吸系统疾病的诊断和管理提供了另一种方法。在恶性疾病方面,机器人导航支气管镜检查为获取小的且难以触及的肺结节提供了一个稳定的平台,而恶性中央气道阻塞可通过经镜插入支架来处理。针对良性疾病已开发出一系列治疗方式,这些方式为标准治疗提供了替代方案,特别是在慢性阻塞性肺疾病的支气管内瓣膜以及哮喘的支气管热成形术方面,而经支气管冷冻切除肺活检为未确诊的间质性肺疾病提供了一种非手术选择。随着通过强有力的临床试验过程开发出丰富的技术渠道,介入支气管镜检查领域不仅将继续发展成为呼吸医学领域,而且对普通内科医生来说都将成为一项宝贵的资产。