积极开展血管疾病的介入治疗

More attention for developing interventional therapy of vascular diseases

介入放射学是在医学影像导向下进行治疗的学科 ,人们普遍承认的是从 196 4年Dotter同轴导管治疗动脉闭塞性疾病开始的。原因是介入放射学不是一项或几项技术 ,而是一门学科。至 1974年放射医师Gruntzig研究出球囊导管 ,并立即应用于冠状动脉 ,这才在美国掀起了长时期的“球囊热”。虽然“介入疗法”传到中国最初是以治疗肿瘤的 ,在中国肿瘤较血管患者多 ,介入治疗肿瘤也是十分有效的方法 ,肿瘤介入应该有所发展。但是血管介入不应忽视 !近 10年来 ,血管介入有了长足的进步。首先是器械有了很大的发展 ,血管腔内成形术 ,不只是使用导管、导丝和球囊 ,血栓切除器有了很大的发展 ,可以说是种类繁多。在支架方面也有了很大的发展 ,为了防止狭窄 ,有了药物洗脱支架 ,还有隔绝作用的覆膜支架等。把介入的重点放回血管上来 。

Interventional radiology is a kind of therapeutic subject under the guidance of medical imaging. According to our knowledge, it began in 1964 through coaxial catheterization treatment for arterial occlusive disease by Dotter. 1974, radiologist Gruntzig created bolloon catheter utilizing for coronary arterial disease immediately with promising outcome and thus exciting a long term of “balloon thrill” in America. In China,“intervention” is mainly for treating tumor because tumor is more commonly occuring than the vescular disease with effective result. The vascular intervention appears to have an arousing improvement during the latest 10 years with great development of instruments including endovascular angioplasty by application of catheter, guide wire, balloon and even thrombectomy device, etc. There are also huge development in stent placement including drug eluting stent, endovascular graft exclusion, etc. for prevention of sdtenosis, After all vascular intervention has to be considered sas the major subject and made with end less improvement.