积极科学地开展管腔内支架的临床应用

Positively and reasonably clinical application of endoluminal stenting

管腔内支架面世已经20余年了,在我国,近年来也取得了可喜的成绩。支架不仅可以广泛应用于各种血管管腔狭窄性病变,而且也还可以应用于诸如胆管、食管和气管等非血管管腔中。特别是近年来,支架还逐步应用于缺血性脑血管病和出血性脑血管病的介入治疗之中。而在胸腹主动脉瘤的介入治疗中,覆膜支架则表现出极大的优越性。但是在我们国家,支架技术的发展还任重道远,基础研究尚不够深入,操作尚不规范、随访工作不够细致等,都是介入诊疗专业医生今后需要大力解决的问题。如何开发具有自主知识产权的新支架、并不断拓展支架的新用途、如何做到科学合理地应用支架,也是介入医生今后努力工作的目标。

The endoluminal stenting is popular for more than two decades, even in China, encouraging achievements also are getting around the recent dacade. Endoluminal stents are not only applicated for all kinds of vascular stenosis,and nonvascular stenosis such as biliary tract,esophagus,trachea etc, but also are utilized gradually in the interventional treatment of cerebral ischemia and hemorrage in the recent years, especially for aortic aneurysm. There would still have a long way to go in China for further development in basic research, standardized procedure, and normalized followed-up. The main target for all the interventional radiologists in the foreseen future is how to develop new stents with independent knowlege property right and to expand the stents usage reasonably.