血管外科现代临床的难点和热点问题探讨  

The recent clinical attractive focus and difficulties of vascular surgery

作　　者：王深明[1] 王斯文[1] 

机构地区：[1]中山大学附属第一医院,广东广州510080

出　　处：《中国实用外科杂志》2014年第1期19-23,共5页Chinese Journal of Practical Surgery

摘　　要：血管外科在过去10多年的发展过程中,由于血管腔内技术的应用及相关学科进步的促进,不断出现新的诊断及治疗方法,提高了血管疾病的检出率和疗效,同时也不断提出新的临床难点和热点,包括复杂性主动脉夹层或主动脉瘤的血管腔内治疗问题,以及破裂性主动脉瘤及急性夹层的治疗;还包括颈动脉闭塞式狭窄的治疗选择及术后再狭窄问题,下肢动脉缺血腔内的治疗及疗效评估。而静脉疾病方面,急性下肢深静脉血栓形成抗凝及溶栓治疗和下肢慢性静脉功能不全的微创治疗等等均是值得血管外科医师认真研究及探讨的临床问题。In last decade, with the application of endovascular technique and progress of related subjects, new diagnosis and treatment methods of vascular surgery were developed fast which improved the detection rate and the efficacy of vascular diseases. The new difficulties and the attractive focus are arising subsecquently such as the endovascular treatment of complicated aortic dissection or aneurysm and the treatment of rupture aortic aneurysm or acute dissection. Meanwhile, on artery diseases, the treatment selection of carotid artery stenosis and low extremity arterial occlusive diseases as well as the restenosis or the efficacy after treatment of these arterial diseases should be focused. On vein diseases, the anticoagulant and thrombolysis of acute DVT treatment and minimal invasive treatment of chronic venous insufficiency are also the clinical problems which should be investigated and studied further by vascular surgeons.

关 键 词：血管外科 主动脉夹层 主动脉瘤 颈动脉狭窄 下肢动脉缺血性疾病 下肢深静脉血栓形成 肺栓塞 慢性下肢静脉功能不全 腔内血管外科 

分 类 号：R654.3[医药卫生—外科学]