Abstract：
UNASSIGNED: In the past two decades, bronchoscopy of peripheral pulmonary lesions (PPLs) has improved its diagnostic yield due to the combination of various instruments and devices. Meanwhile, the application is complex and intertwined.
UNASSIGNED: This review article outlines strategies in diagnostic bronchoscopy for PPLs. We summarize the utility and evidence of key instruments and devices based on the results of clinical trials. Future perspectives of bronchoscopy for PPLs are also discussed.
UNASSIGNED: The accuracy of reaching PPLs by bronchoscopy has improved significantly with the introduction of combined instruments such as navigation, radial endobronchial ultrasound, digital tomosynthesis, and cone-beam computed tomography. It has been accelerated with the advent of approach tools such as newer ultrathin bronchoscopes and robotic-assisted bronchoscopy. In addition, needle aspiration and cryobiopsy provide further diagnostic opportunities beyond forceps biopsy. Rapid on-site evaluation may also play an important role in decision making during the procedures. As a result, the diagnostic yield of bronchoscopy for PPLs has improved to a level comparable to that of transthoracic needle biopsy. The techniques and technologies developed in the diagnosis will be carried over to the next step in the transbronchial treatment of PPLs in the future.
UNASSIGNED: This review article outlines strategies in diagnostic bronchoscopy for PPLs. We summarize the utility and evidence of key instruments and devices based on the results of clinical trials. Future perspectives of bronchoscopy for PPLs are also discussed.
UNASSIGNED: The accuracy of reaching PPLs by bronchoscopy has improved significantly with the introduction of combined instruments such as navigation, radial endobronchial ultrasound, digital tomosynthesis, and cone-beam computed tomography. It has been accelerated with the advent of approach tools such as newer ultrathin bronchoscopes and robotic-assisted bronchoscopy. In addition, needle aspiration and cryobiopsy provide further diagnostic opportunities beyond forceps biopsy. Rapid on-site evaluation may also play an important role in decision making during the procedures. As a result, the diagnostic yield of bronchoscopy for PPLs has improved to a level comparable to that of transthoracic needle biopsy. The techniques and technologies developed in the diagnosis will be carried over to the next step in the transbronchial treatment of PPLs in the future.
摘要：
■在过去的二十年里，由于各种仪器和设备的结合，对周围肺部病变（PPL）的支气管镜检查提高了诊断率。同时,应用程序是复杂和交织在一起的。
■这篇综述文章概述了诊断支气管镜检查用于PPL的策略。我们根据临床试验结果总结了关键仪器和设备的实用性和证据。还讨论了用于PPL的支气管镜检查的未来前景。
■随着导航等组合仪器的引入，通过支气管镜检查达到PPL的准确性显着提高，径向支气管超声，数字断层合成,和锥形束计算机断层扫描。随着诸如更新的超薄支气管镜和机器人辅助支气管镜等方法工具的出现，它已经加速。此外,针吸活检和冷冻活检提供了更多的诊断机会。快速现场评估也可能在程序期间的决策中发挥重要作用。因此,支气管镜对PPL的诊断率已提高到与经胸穿刺活检相当的水平.诊断中开发的技术和技术将在将来进行经支气管治疗PPL的下一步。
■这篇综述文章概述了诊断支气管镜检查用于PPL的策略。我们根据临床试验结果总结了关键仪器和设备的实用性和证据。还讨论了用于PPL的支气管镜检查的未来前景。
■随着导航等组合仪器的引入，通过支气管镜检查达到PPL的准确性显着提高，径向支气管超声，数字断层合成,和锥形束计算机断层扫描。随着诸如更新的超薄支气管镜和机器人辅助支气管镜等方法工具的出现，它已经加速。此外,针吸活检和冷冻活检提供了更多的诊断机会。快速现场评估也可能在程序期间的决策中发挥重要作用。因此,支气管镜对PPL的诊断率已提高到与经胸穿刺活检相当的水平.诊断中开发的技术和技术将在将来进行经支气管治疗PPL的下一步。
