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超声介入治疗在血管疾病中的应用

葛志通 李建初

葛志通, 李建初. 超声介入治疗在血管疾病中的应用[J]. 协和医学杂志, 2020, 11(1): 62-67. doi: 10.3969/j.issn.1674-9081.20190210
引用本文: 葛志通, 李建初. 超声介入治疗在血管疾病中的应用[J]. 协和医学杂志, 2020, 11(1): 62-67. doi: 10.3969/j.issn.1674-9081.20190210
Zhi-tong GE, Jian-chu LI. Application of Ultrasonic Intervention in the Treatment of Vascular Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 62-67. doi: 10.3969/j.issn.1674-9081.20190210
Citation: Zhi-tong GE, Jian-chu LI. Application of Ultrasonic Intervention in the Treatment of Vascular Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 62-67. doi: 10.3969/j.issn.1674-9081.20190210

超声介入治疗在血管疾病中的应用

doi: 10.3969/j.issn.1674-9081.20190210
基金项目: 

科技部重点研发计划 2017YFC0113805

国家自然科学基金 61571465

国家自然科学基金 61971448

中国医学科学院医学与健康科技创新工程项目 2016-I2M-1-011

详细信息
    通讯作者:

    李建初 电话:010-69155785, E-mail:jianchu.li@163.com

  • 中图分类号: R543;R445.1

Application of Ultrasonic Intervention in the Treatment of Vascular Diseases

More Information
  • 摘要: 血管介入治疗创伤小、疗效好、恢复快, 近年来在临床中的应用越来越广泛, 但传统血管介入治疗多采用数字减影血管造影等放射学引导, 不适于碘造影剂过敏或禁忌证的患者。而超声引导下血管介入治疗可避免以上缺陷, 且成本低、方便易行。目前该技术主要应于下肢动脉狭窄或闭塞、肾动脉狭窄、腹主动脉瘤、医源性假性动脉瘤等动脉疾病, 布加综合征、胡桃夹综合征、左髂静脉压迫综合征、大隐静脉曲张、静脉畸形等静脉疾病, 以及下腔静脉滤器置入、导管接触性溶栓等微创治疗。其治疗成功的基础和关键是常规超声图像能够清晰显示操作通路和病灶区域, 并保持图像稳定性, 同时导丝和球囊等血管内操作器械在超声图像上能够实时清晰显示。超声引导下的血管介入治疗还可在术中对治疗后的病变血管进行实时血流动力学评估, 从而评价介入治疗效果。此外, 血管内超声可更加直观显示血管内部结构, 使常规超声介入引导难度大的操作得以成功开展, 拓宽了超声介入的治疗领域。
    利益冲突  无
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  • 收稿日期:  2019-10-04
  • 刊出日期:  2020-01-30

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