介入放射学简史  

Brief history of interventional radiology

作　　者：唐振良[1] 贾爱芹 李荦芸[1] 李春雨[1] 

机构地区：[1]长治医学院第一临床学院,046000 [2]山西省临汾市第四医院,临汾市041000

出　　处：《中华医史杂志》2014年第3期158-165,共8页Chinese Journal of Medical History

摘　　要：1923年，血管造影术首次成功用于人体。1953年，瑞典Sven—Ivar Sddinger医生首创了Sddinger技术，为介入放射学的发展奠定了基础。1963年，Dotter首次提出了介入放射学的设想。1964年，Dotter的一次意外操作开创了经皮血管成形术的新纪元，标志着介入放射学的形成，在此基础上发展出球囊导管扩张术和金属支架植入术。1969年，血管内支架的设想被提出。1973年，柔软的双腔球囊导管的出现使经皮血管成形术有了突破性的进展。1977年，经皮血管成形术被应用于冠状动脉。20世纪90年代，金属支架出现，球囊成形术退居辅助地位。目前，可回收支架、覆膜支架和生物学支架，使血管支架又进入了一个新的阶段。经导管血管栓塞术始于1965年，是介入放射学最重要的基本技术之一。随着栓塞剂的发展以及导管技术的改进，该技术也有了相应的发展，目前已应用于多种疾病的治疗。经颈静脉肝内门体静脉分流术是最具代表性的综合介入放射学技术，该技术始于1967年的一种经颈静脉途径到达胆道系统的方法。1986年，球囊膨胀支架建立分流道技术出现，形成现在的经颈静脉肝内门体静脉分流术。始于1972年的非血管性介入技术是介入放射学的另一重要分支，目前已应用于胰、肝、肾、脊髓、输卵管、食道等多个脏器疾病的诊治。1973年，中国大陆学者首次进行了血管造影术试验。20世纪80年代，介入放射学开始传人中国大陆，学习班（1981）和学术会议（1986）的举办促进了介入放射学在中国的发展。20世纪90年代以来，随着海外学者归国，中国与世界介入诊疗技术的差距逐渐缩小。In 1923, angiography was first successively used for the human body. In 1953, a Swed- ish doctor Sven-Ivar Seldinger pioneered the Seldinger technique, which laid down the foundation of interventional radiology. In 1963, Charles Dotter first proposed the idea of interventional radiology. In 1964, Charles Dotter opened a new era of percutaneous angioplasty through accidental operation, marking the formation of interventional radiology. On this basis, the techniques of balloon catheter dilation and metal stent implantation was developed. Endovascular stent was proposed in 1969. In 1973, the percntaneous angioplasty has been a breakthrough with the emergence of soft double-lumen balloon catheter. Percutaneous coronary angioplasty is applied in 1977. Since the 1990s, balloon angioplasty relegated to secondary status with the emergence of metal stent. Currently, endovascular stent have entered a new stage with the emergence of temporary stent and stent grafts and biological stent. Transcatheter arterial embolization had been one of the most important basic techniques for interventional radiology since 1965, it had also been a corresponding development with the improvement of embolic agents and catheter technology for the treatment of diseases now. Transjugular intrahepatic portosystemic stent-shunt is a comprehensive interventional radiology technology since 1967, in which the biliary system can be reached through a jugular vein, and the improvement appeared with balloon expandable stentt in 1986. Since 1972, non-vascular interventional techniques was another important branch of interventional radiology. Currently, it is applied in the diagnosis and treatment of many diseases of the internal organs like the pancreas, liver, kidney, spinal cord, Fallopian tubes, esophagus and other organs. In 1973, Chinese radiologist first conducted the angiography test. Interventional radiology was introduced into China in the 1980s, it was readily developed through the sponsoring of training class （ 1981 ） and academic conferenc

关 键 词：介入放射学 血管造影术 经皮血管成形术 经导管血管栓塞术 非血管性 介入技术 

分 类 号：R-09[医药卫生]