血管外科技术创新的意义与趋势  

Innovative significance and trend of vascular surgery technology

作　　者：陈忠[1] 杨耀国[1] CHEN Zhong;YANG Yao-guo(Department of Vascular Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院血管外科,北京100029

出　　处：《中国实用外科杂志》2018年第12期1354-1360,共7页Chinese Journal of Practical Surgery

摘　　要：血管外科的发展与技术的创新发展密切相关。血管外科治疗范围主要包括主动脉疾病、外周动脉疾病及静脉疾病,近年的治疗方法已明显侧重于血管腔内治疗技术,且随着技术的不断创新发展,既往以开放手术治疗为主的许多复杂疑难病例,如累及升主动脉、主动脉弓的主动脉夹层或瘤样扩张疾病,近肾或累及肾动脉等重要内脏动脉分支的腹主动脉瘤等,亦逐渐采用开窗支架、分支支架等新型血管腔内技术治疗,未来内脏动脉及主动脉弓上重要分支动脉的腔内重建将成为血管腔内技术发展的主要方向。外周动脉病变的血管腔内治疗方法与治疗理念均处于改进阶段,各新型开通装置增加了血管腔内治疗成功率,涂药球囊和减容装置较传统支架置入术的远期效果有明显优势,同时能达到不遗留异物的目的,但现阶段还不能完全取代支架置入术。The development of vascular surgery is closely related to the innovation and development of technology. Vascular diseases mainly include aortic disease,peripheral vascular disease and venous disease.Recently,therapy of vascular surgery have been focused on endovascular treatment. Along with the development of endovascular technology, numerous diseases that were suggested for open surgery such as aortic dissection and aneurysm involving ascending aorta or aortic arch lesion,are treated by in situ fenestration and branch aortic stent.Rebuild main arterial branches of aortic arch and visceral arteries through interventional therapy will become an significant development direction in the future. Interventional therapy and treatment concept of peripheral artery disease are during an improvement stage.The success rate of interventional therapy is increasing attribute to the new generation of recanalized devices,the patency rate is also increasing attribute to the application of drug-coated balloon and atherectomy devices compared with traditional bare metal stent,which accord with the idea of"leave nothing behind".

关 键 词：血管外科 腔内治疗 血管支架 涂药球囊 减容装置 

分 类 号：R6[医药卫生—外科学]