电磁导航支气管镜引导定位的临床应用  

Electromagnetic navigation bronchoscopy-guided localization in clinic

作　　者：张骅 徐鹏 张民[2] 苏仁意 

机构地区：[1]襄樊市第一人民医院呼吸内科,湖北省襄樊市441000 [2]华中科技大学同济医学院附属襄樊医院心血管内科,湖北省襄樊市441021

出　　处：《中国组织工程研究与临床康复》2008年第39期7725-7728,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：电磁导航支气管镜集螺旋CT仿真支气管镜与传统可弯曲支气管镜的优点于一身,实时引导定位,准确到达常规支气管镜无法到达的肺外周病灶和纵隔淋巴结获取标本行病理检查,在未来还可以进行介入治疗(如局部注射药物或行放射性粒子植入等)。其确诊率优于支气管内超声等设备非实时引导的经支气管针吸活检术,体现了一体化的微创技术及医学可视化的优点,是介入性肺病学发展历史上的一个巨大的飞跃。目前,国内临床应用电磁导航支气管镜引导定位技术尚处于起步阶段,如何进一步将此技术临床中发挥作用,提高其效价比值,值得探讨。Electromagnetic navigation bronchoscopy （ENB） takes the advantages of CT virtual bronchoscopy and traditional flexible bronchoscope, which can perform the accurate localization of peripheral pulmonary lesion and mediastinal lymph node to acquire tissue samples for pathological diagnosis. ENB-guided localization can be used in interventional therapy in future （local injection or radioactive seed implantation）. It shows the merit of minimally invasive technique and medical visualization by higher accuracy rate of diagnosis than that of transbronchial needle aspiration. It is a great leap in interventional pulmonology history. At present, ENB-guided localization is still at the starting stage in China, and how to put it in clinical use and improve its performance-price ratio still needs further exploring.

关 键 词：支气管镜 电磁导航 周围性肺疾病 介入性肺病学 数字化医学 

分 类 号：R318[医药卫生—生物医学工程]