我国血管腔内外科技术发展的历程.docx

我国血管腔内外科技术发展的历程
【摘要】我国腔内血管外科从无到有，从粗到精，从盲目到定向，从少到多，而今从多到即将来临的如雨后春笋般的前景，首先有赖于科学这个第一生产力的蓬勃发展，也有赖于医务界诸多同仁孜孜不倦的勤恳耕耘，她经历了一个艰苦创业和发展的历程。本文所述的主要为大血管外科:腔静脉和肾动脉平面以上主动脉疾病的腔内治疗，但仍起自中等管径动脉的研究和实践开始。迄今，仅笔者等就已成功完成了137例以上的以主动脉夹层为主的大动脉病变的腔内治疗，在全国范围内则估计已过千例，似远多于肾下腹主动脉瘤的血管腔内治疗，这一点同西方国家似乎完全不同。可以肯定的是，应用血管腔内技术或手术联合腔内法治疗大血管病变较治疗身体其他部位血管病变具有更大的优越性。总之，无论是以血管腔内微创法或手术与腔内联合法治疗大血管病变的研究和治疗均尚方兴未艾，其前景可观。【关键词】血管腔内移植物；主动脉夹层；动脉瘤；下腔静脉；布加综合征【Abstract】TheendovascularsurgeryinChinahasbeendevelopingfromnonetoafew,afewtomany,anditisexpectingtogrowthevenrapidlyas“springbambooafteratimelyrain”inwhich“scienceisthefirstmotiveforce”andaconsistentdiligenceandendeavorputtingintoitfromvascularscientistsandpractitionershasbeenplayingadistinctivelyimportantrole.Ithasexperiencedahardinitiationanddevelopingprocess.Describinghereismainlythedevelopmentofendolumianlvascularsurgeryformajorveinandartery,,thevenacavaandtheaorta,howeveritwasstillfromresearchandpracticeofthemedium-sizedvessels.Untilnow,wehavetreatedmorethan137totalnumberofpatientswithaorticdissectiontreatedbyendograftingshouldbemorethan1000.Theendoluminaltreatment,includingthehybridorsemi-interventionalmethodfortreatingaorticdissectionisverylikelytohaveaparticularlyspeciallybetterfuturefutureincomparisontothetreatmentforthosewiththeinfra-renalabdominalaorticaneurysmAAAinwhichrequires,unlikelythesurgicalproceduresforhandlingaorticdissectionswithlongsegmentalinvolvementoftheaorta,lesssurgicaldemanding.ItispredictedthatthedistinctivelydifferencewehavehadnowbetweenChinaandtheWesternWorldintermoftheincidenceofAAAandaorticdissectionsandtheirrelatedtreatmentwouldbegraduallydisappearedinthefuture.Theendoluminaltreatmentfortreatinggreatervesseldisordershasafruitfulfuture.【Keywords】endograft;aorticdissections;aneurysm;inferiorvenacava;Budd-Chiarisyndrome有赖于科学这个第一生产力的蓬勃发展和医务界诸多同仁孜孜不倦的勤恳耕耘，我国腔内血管外科从无到有，从粗到精，从盲目到定向，从少到多，而今从多到即将来临的如雨后春笋般的前景，经历了一个艰苦创业和发展的历程。1腔内血管外科起始在此所述的主要为大血管外科:腔静脉和肾动脉平面以上主动脉疾病的腔内治疗，但在开始时仍起自中等管径动脉的研究和实践。在国内尚未见到任何有关血管腔内外科技术的器械和装置之前，我国学者已经努力钻研了数年之久，于1978年发表了一