电磁导航技术在现代儿科介入呼吸病学的应用
|
摘要
电磁导航支气管镜技术凭借其具有实时导航、精准定位的优势在外周病变的活检、纵隔和肺门淋巴结病变的活检及需要肺部、气道、纵隔精确定位的呼吸介入术中具有很高的临床应用价值,经过十多年的临床实践,认为该技术具有安全、可靠、微创、高效等优点,更重要的是适合儿童使用。该技术在儿科呼吸领域的引入和推广,将推动儿科呼吸介入诊疗的进一步发展。
With the advantages of real-time navigation and accurate positioning,electromagnetic navigation bronchoscopy has high clinical application value in biopsy of peripheral pulmonary diseases,biopsy of mediastinum and hilar lymph node lesions,and respiratory interventions requiring precise positioning of lung, airway and mediastinum. After more than ten years of clinical practice,this technique is considered to be safe,reliable,minimally invasive and highly efficient. The introduction and popularization of this technology in the field of pediatric respiratory diseases will promote the further development of interventional diagnosis and treatment of pediatric respiratory diseases.
With the advantages of real-time navigation and accurate positioning,electromagnetic navigation bronchoscopy has high clinical application value in biopsy of peripheral pulmonary diseases,biopsy of mediastinum and hilar lymph node lesions,and respiratory interventions requiring precise positioning of lung, airway and mediastinum. After more than ten years of clinical practice,this technique is considered to be safe,reliable,minimally invasive and highly efficient. The introduction and popularization of this technology in the field of pediatric respiratory diseases will promote the further development of interventional diagnosis and treatment of pediatric respiratory diseases.
引文
[1] Rivera MP,Mehta AC. Initial diagnosis of lung cancer:ACCP evidence-based clinical practice guidelines(2nd edition)[J].Chest,2007,132(Suppl 3):131-148.
[2]黄海涛,陈少慕,潘良斌.电磁导航支气管镜联合径向探头支气管内超声在肺周围型病灶诊断中的应用[J].中国肺癌杂志,2017,12(12):837-840.
[3]孙加源,韩宝惠,陈海泉.电磁导航支气管镜系统在呼吸系统疾病诊治中的应用现状与展望[J].中国癌症杂志,2015,25(10):832-837.
[4] Gould MK,Fletcher J,Iannettoni MD,et al. Evaluation of patients with pulmonary nodules:when is it lung cancer? ACCP evidencebased clinical practice guidelines(2nd edition)[J]. Chest,2007,132(Suppl 3):108-130.
[5] Gex G,Pralong JA,Combescure C,et al. Diagnostic yield and safety of electromagnetic navigation bronchoscopy for lung nodules:a systematic review and meta-analysis[J]. Respiration,2014,87(2):165-176.
[6] Eberhardt R,Anantham D,Ernst A,et al. Multimodality bronchoscopic diagnosis of peripheral lung lesions[J]. Am J Respir Crit Care Med,2007,176(1):36-41.
[7] Kalanjeri S,Gildea TR. Electromagnetic navigational bronchoscopy for peripheral pulmonary nodules[J]. Thorac Surg Clin,2016,26(2):203-213.
[8] Mahajan AK,Patel S,Hogarth DK,et al.Electromagnetic naviga tional bronchoscopy an effective and safe approach to diagnose peripheral lung lesions unreachable by conventional bronchoscopy in high-risk patients[J].J Bronchology Interv Pulmonol,2011,18(2):133-137.
[9]吴宝妹,李玉梅.电磁导航支气管镜在肺外周结节诊断中的意义[J].中华诊断学电子杂志,2016,8(4):203-205.
[10] Shrager JB. Mediastinoscopy:Still the gold standard[J]. Ann Thorac Surg,2010,89(6):2084-2089.
[11] Gildea TR,Mazzone PJ,Karnak D,et al. Electromagnetic navigation diagnostic bronchoscopy[J]. Am J Respir Crit Care Med,2006,174(9):982.
[12]张辉军,张龙富,叶茂松,等.国产电磁导航支气管镜检查定位系统引导经支气管镜肺活检术对肺外周病灶的诊断价值[J].复旦学报(医学版),2017,44(3):348-352.
[13] Rivera MP,Mehta AC,Wahidi MM. Establishing the diagnosis of lung cancer:Diagnosis and management of lung cancer,3rd ed.American College of Chest Physicians evidence-based clinical practice guidelines[M]. Chest,2013,143(Suppl 5):142-165.
[14] Solomon SB,White P Jr,Acker DE,et al. Real-time bronchoscope tip localization enables three-dimensional CT image guidance for transbronchial needle aspiration in swine[J]. Chest,1998,114(5):1405-1410.
[2]黄海涛,陈少慕,潘良斌.电磁导航支气管镜联合径向探头支气管内超声在肺周围型病灶诊断中的应用[J].中国肺癌杂志,2017,12(12):837-840.
[3]孙加源,韩宝惠,陈海泉.电磁导航支气管镜系统在呼吸系统疾病诊治中的应用现状与展望[J].中国癌症杂志,2015,25(10):832-837.
[4] Gould MK,Fletcher J,Iannettoni MD,et al. Evaluation of patients with pulmonary nodules:when is it lung cancer? ACCP evidencebased clinical practice guidelines(2nd edition)[J]. Chest,2007,132(Suppl 3):108-130.
[5] Gex G,Pralong JA,Combescure C,et al. Diagnostic yield and safety of electromagnetic navigation bronchoscopy for lung nodules:a systematic review and meta-analysis[J]. Respiration,2014,87(2):165-176.
[6] Eberhardt R,Anantham D,Ernst A,et al. Multimodality bronchoscopic diagnosis of peripheral lung lesions[J]. Am J Respir Crit Care Med,2007,176(1):36-41.
[7] Kalanjeri S,Gildea TR. Electromagnetic navigational bronchoscopy for peripheral pulmonary nodules[J]. Thorac Surg Clin,2016,26(2):203-213.
[8] Mahajan AK,Patel S,Hogarth DK,et al.Electromagnetic naviga tional bronchoscopy an effective and safe approach to diagnose peripheral lung lesions unreachable by conventional bronchoscopy in high-risk patients[J].J Bronchology Interv Pulmonol,2011,18(2):133-137.
[9]吴宝妹,李玉梅.电磁导航支气管镜在肺外周结节诊断中的意义[J].中华诊断学电子杂志,2016,8(4):203-205.
[10] Shrager JB. Mediastinoscopy:Still the gold standard[J]. Ann Thorac Surg,2010,89(6):2084-2089.
[11] Gildea TR,Mazzone PJ,Karnak D,et al. Electromagnetic navigation diagnostic bronchoscopy[J]. Am J Respir Crit Care Med,2006,174(9):982.
[12]张辉军,张龙富,叶茂松,等.国产电磁导航支气管镜检查定位系统引导经支气管镜肺活检术对肺外周病灶的诊断价值[J].复旦学报(医学版),2017,44(3):348-352.
[13] Rivera MP,Mehta AC,Wahidi MM. Establishing the diagnosis of lung cancer:Diagnosis and management of lung cancer,3rd ed.American College of Chest Physicians evidence-based clinical practice guidelines[M]. Chest,2013,143(Suppl 5):142-165.
[14] Solomon SB,White P Jr,Acker DE,et al. Real-time bronchoscope tip localization enables three-dimensional CT image guidance for transbronchial needle aspiration in swine[J]. Chest,1998,114(5):1405-1410.