临床外科杂志 ›› 2025, Vol. 33 ›› Issue (9): 922-927.doi: 10.3969/j.issn.1005-6483.20250737

• 专家笔谈 • 上一篇    下一篇

机器人辅助支气管镜在肺结节诊治中的应用进展

王心怡 韩丁培 李鹤成   

  1. 200025 上海,上海交通大学医学院附属瑞金医院胸外科
  • 收稿日期:2025-07-18 出版日期:2025-10-16 发布日期:2025-10-16
  • 通讯作者: 李鹤成,Emai:lihecheng2000@hotmail.com
  • 基金资助:
    国家重点研发计划(2021YFC2500900);国家自然科学基金面上项目(82072557、82372855);上海交通大学“交大之星”计划“医工交叉研究基金”资助项目(YG2023ZD04);上海市卫生健康委员会新兴交叉领域研究专项(2022JC023);上海市卫生健康委员会卫生行业临床研究专项(202540011)

Advances in robotic-assisted bronchoscopy for diagnosis and treatment of pulmonary nodules

WANG Xinyi,HAN Dingpei,LI Hecheng   

  1. Department of Thoracic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China
  • Received:2025-07-18 Online:2025-09-20 Published:2025-10-16

摘要: 随着肺癌高危人群筛查的普及,肺外周结节的发现率持续上升,对精准诊断与微创治疗提出更高要求。机器人辅助支气管镜(RAB)技术融合高精度导航、稳定操控与影像融合能力,显著提升了外周肺病变的靶向能力与活检效率。本文系统回顾了当前主流RAB平台的技术原理、系统创新、临床应用进展及其在术前定位与局部治疗中的探索性应用。RAB有望成为肺外周结节诊疗的重要平台,推动呼吸介入技术迈入精准微创的新纪元。

关键词: 机器人辅助支气管镜;肺结节;精准诊断;微创治疗;人工智能

Abstract: With the widespread implementation of lung cancer screening among high-risk populations,the detection rate of peripheral pulmonary nodules has been steadily increasing,posing higher demands for precise diagnosis and minimally invasive treatment.Robotic-assisted bronchoscopy(RAB) technology integrates high-precision navigation,stable control,and advanced imaging fusion capabilities,significantly enhancing the targeting accuracy and biopsy efficiency of peripheral lung lesions.This review systematically examines the technical principles,system innovations,and clinical applications of the major RAB platforms,as well as their exploratory use in preoperative localization and local therapy.Robotic bronchoscopy holds great promise as a key platform for the diagnosis and treatment of peripheral pulmonary nodules,heralding a new era of precision and minimally invasive interventional pulmonology.

Key words: robotic-assisted bronchoscopy;pulmonary nodules;precision diagnosis;minimally invasive treatment;artificial intelligence

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