| 硬质支气管镜技术在“真实世界”的争议与思考 |
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| 引用本文： | 任杰,黄海东,王琴,杨宇光,黄怡,李强,白冲.硬质支气管镜技术在“真实世界”的争议与思考[J].第二军医大学学报,2018,39(2):117-123. |
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| 作者姓名： | 任杰 黄海东 王琴 杨宇光 黄怡 李强 白冲 |
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| 作者单位： | 长海医院,长海医院 |
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| 基金项目： | 1)国家公益性行业科研专项---介入性肺脏病学技术诊疗规范、标准及评价研究（201402024） This study was supported by Special Research Grants for China Non-Profit & Public Service “Study on the diagnosis and treatment standard, criteria and evaluation of interventional pulmonary technology”(Grant number:201402024). 2)长海医院首批医疗新技术培育项目（NT201506） Project of New Clinical Technology Development of Changhai Hospital (Grant number: NT201506). |
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| 摘 要： | 硬质支气管镜技术（rigid bronchoscopy，RB）是一项古老的支气管镜技术。自20世纪70年代可弯曲支气管镜技术（flexible bronchoscopy，FB）兴起后，RB的使用率迅速下滑，许多临床医师质疑RB是否还具有临床应用价值。但近年来，国内介入呼吸病领域出现迅速升温的“硬质热”局面使临床医师又心存困惑：为什么RB重新成为国内介入呼吸病领域的热点？RB在呼吸病内镜操作中有什么实际应用价值？RB的发展趋势和应用前景如何？本文针对RB在“真实世界”中的这些争论展开综述和讨论，并结合本领域最新进展提出个人的思考和观点。
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| 关 键 词： | 硬质支气管镜 可弯曲支气管镜 介入呼吸病学 硅酮支架 治疗 诊断 |
| 收稿时间： | 2017/10/26 0:00:00 |
| 修稿时间： | 2017/12/30 0:00:00 |
Rigid bronchoscopy in the real world: controversies and thinking |
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| REN Jie,HUANG Hai-dong,WANG Qin,YANG Yu-guang,HUANG Yi,LI Qiang and BAI Chong.Rigid bronchoscopy in the real world: controversies and thinking[J].Academic Journal of Second Military Medical University,2018,39(2):117-123. |
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| Authors: | REN Jie HUANG Hai-dong WANG Qin YANG Yu-guang HUANG Yi LI Qiang and BAI Chong |
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| Institution: | Changhai Hospital of Shanghai,Changhai Hospital of Shanghai |
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| Abstract: | Rigid bronchoscopy (RB) is one of the oldest bronchoscopic techniques. Since the advent of flexible bronchoscopy (FB) in 1970s, usage frequency of RB procedures has rapidly decreased, which made many clinicians question its clinical value. However, the fact of prosperous"rigid hot"in China has appeared in the field of interventional pulmonology in recent years, which confused some pulmonologists-why does RB become hot in the field of interventional pulmonology domestically? what is the practical value of RB in the endoscopic procedures of modern respiratory diseases? how about the developing trend and application prospects of RB in future? This review summarized and discussed the existing debates as well as the latest progress on RB in clinical application, and put forward our views and opinions. |
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| Keywords: | Rigid bronchoscope flexible bronchoscope interventional pulmonology silicone stent therapy diagnosis |
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