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中国防痨杂志 ›› 2025, Vol. 47 ›› Issue (11): 1421-1425.doi: 10.19982/j.issn.1000-6621.20250218

• 专题笔谈 • 上一篇    下一篇

电子鼻在肺结核快速诊断中的应用

王可, 孙虎(), 拜合提尼沙·吐尔地   

  1. 新疆医科大学第一附属医院呼吸重症监护科,乌鲁木齐 830054
  • 收稿日期:2025-05-25 出版日期:2025-11-10 发布日期:2025-10-30
  • 通信作者: 孙虎 E-mail:280485113@qq.com
  • 基金资助:
    新疆维吾尔自治区科技支疆计划(指令性)项目(2024E02048);新疆地区高发疾病研究教育部重点实验室开放课题(2024A03)

Application of electronic nose in rapid diagnosis of pulmonary tuberculosis

Wang Ke, Sun Hu(), Baihetinisha Tuerdi   

  1. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2025-05-25 Online:2025-11-10 Published:2025-10-30
  • Contact: Sun Hu E-mail:280485113@qq.com
  • Supported by:
    Science and Technology Supporting Xinjiang Program (Directive Project), Xinjiang Uygur Autonomous Region(2024E02048);Open Funded Project of the Key Laboratory of Xinjiang Regional High-incidence Disease Ministry of Education(2024A03)

摘要:

肺结核作为一种全球范围内严重的传染病,早期诊断对控制疫情和降低传播风险具有重要意义。传统的肺结核诊断方法如痰培养,往往耗时较长,并需要专业的实验室设备,限制了痰培养在基层医疗机构中的广泛应用。近年来,电子鼻因具备快速、无创和高敏感度的特点,逐渐成为肺结核快速诊断的重要研究方向。现有研究表明,电子鼻能够通过分析呼出气体中的挥发性有机化合物(VOCs),快速识别肺结核患者。然而,目前在电子鼻的实际应用中仍面临一些挑战,如设备的标准化、数据解读的准确性,以及临床应用的推广等问题。作者通过探讨电子鼻在肺结核诊断中的现状,包括技术原理、应用优势及面临的挑战,同时展望未来该技术在肺结核快速诊断中的发展前景,以期为提高肺结核的早期识别率提供新的思路。

关键词: 电子鼻, 结核,肺, 诊断技术, 呼吸系统

Abstract:

Pulmonary tuberculosis (PTB) remains a major global public health challenge, and timely diagnosis is critical for effective epidemic control and transmission reduction. Conventional diagnostic methods, such as sputum culture, are time-consuming and require specialized laboratory facilities, limiting their accessibility in primary care and resource-limited settings. In recent years, electronic nose (eNose) technology has gained increasing attention as a promising tool for the rapid diagnosis of pulmonary tuberculosis, due to its non-invasiveness, speed, and high sensitivity. Emerging evidence suggests that eNose technology can rapidly identify active pulmonary tuberculosis by analyzing volatile organic compounds (VOCs) in exhaled breath. However, its clinical translation remains limited by several challenges, including the lack of standardized instrumentation, variability in data interpretation, and insufficient integration into routine diagnostic workflows. The author provides a comprehensive overview of the current state of eNose applications in tuberculosis diagnosis, elucidating its underlying mechanisms, diagnostic advantages, and existing barriers, and discusses future directions to improve early case detection and advance innovative diagnostic strategies for tuberculosis control.

Key words: Electronic nose, Tuberculosis, pulmonary, Diagnostic techniques, respiratory system

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