CAJ | 학술논문

支气管镜为获取肺外周病变(peripheral pulmonary lesions，PPL)的一种微创技术。传统支气管镜引导的经支气管肺活检(transbronchial lung biopsy，TBLB)在X线透视指导下进行，诊断率相对较低。电磁导航支气管镜(electromagnetic navigation bronchoscopy，ENB)是近年来出现的一项新的微创诊断技术。其对PPL诊断率优于传统经支气管镜。多项研究已显示出ENB诊断PPL具有的可行性和安全性，并且显示出ENB在PP定位和治疗领域具有潜在的应用前景。该文就这一技术临床应用现状作一综述。
지기관경위획취폐외주병변(peripheral pulmonary lesions，PPL)적일충미창기술。전통지기관경인도적경지기관폐활검(transbronchial lung biopsy，TBLB)재X선투시지도하진행，진단솔상대교저。전자도항지기관경(electromagnetic navigation bronchoscopy，ENB)시근년래출현적일항신적미창진단기술。기대PPL진단솔우우전통경지기관경。다항연구이현시출ENB진단PPL구유적가행성화안전성，병차현시출ENB재PP정위화치료영역구유잠재적응용전경。해문취저일기술림상응용현상작일종술。
Bronchoscopy is a minimally invasive method for obtaining peripheral pulmonary lesions (PPL). Traditional bronchoscopy-guided transbronchial lung biopsy (TBLB) is performed under X-ray guidance, and diagnostic rate is relatively low. A new, real-time electromagnetic navigation bronchoscopy (ENB) is a minimally invasive diagnostic technique which appeared in recent years. Studies suggest ENB is a feasible and safe method for diagnosis of PPL which shows higher diagnostic yields than traditional TBLB, and its potential application in localization and treatment of PPL. This article reviews the clinical application of the technique.