中国先天性心脏病介入治疗发展历程

Evolution of Interventional Treatment of Congenital Heart Disease in China

  • 摘要: 先天性心脏病(下文简称“先心病”)是我国最常见的先天性畸形。经过50余年的发展,我国先心病治疗已历经从传统开胸手术,到经皮导管介入治疗; 从最初的球囊导管房间隔造口术的姑息性手术,到封堵缺损、狭窄瓣膜与血管球囊扩张及支架植入的根治性手术; 从单一学科治疗,到内外科镶嵌的综合治疗模式的转变。随着具有中国特色自主研发的国产器材的临床应用,以及不断创新完善的操作技术的经验积累,我国先心病介入治疗取得了一系列令世界瞩目的成就,病种和数量均已达到国际领先水平。本文全面梳理、总结我国先心病介入治疗的发展历程和取得的卓越成就,展望该领域的未来发展趋势,以期为临床诊疗提供借鉴。

     

    Abstract: Congenital heart disease(CHD) are the most common congenital malformations in China. It has been more than 50 years since the development from the traditional thoracotomy to percutaneous intervention. The interventional treatment of CHD has changed from the palliative procedure of atrial septostomy with balloon catheter to a radical cure for closure defects and stenosis of vessels or valves with balloon dilation and stent implantation. The treatment model has developed from a single specialty to multidisciplinary procedures comprised of internal and surgical medicine. With the clinical application of self-developed home-made equipment with Chinese characteristics and the accumulation of experience in innovating and perfecting skillful operation techniques, a series of remarkable achievements have been made in interventional therapy of CHD in China, which has brought the types and the number of congenital heart diseases treated with interventional treatment to the world-leading level. This article summarizes the development and achievements of interventional therapy of CHD in China and looks forward to the future trend in this field, so that clinicians can have a thought and lesson.

     

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