中华医史杂志
中華醫史雜誌
중화의사잡지
CHINESE JOURNAL OF MEDICINE HISTORY
2014年
3期
158-165
,共8页
唐振良%贾爱芹%李荦芸%李春雨
唐振良%賈愛芹%李犖蕓%李春雨
당진량%가애근%리락예%리춘우
介入放射学%血管造影术%经皮血管成形术%经导管血管栓塞术%非血管性介入技术
介入放射學%血管造影術%經皮血管成形術%經導管血管栓塞術%非血管性介入技術
개입방사학%혈관조영술%경피혈관성형술%경도관혈관전새술%비혈관성개입기술
Interventional radiology%Angiography%Percutaneous angioplasty%Transcatheter arterial embolization%Non-vascular interventional techniques
1923年,血管造影术首次成功用于人体.1953年,瑞典Sven-Ivar Seldinger医生首创了Seldinger技术,为介入放射学的发展奠定了基础.1963年,Dotter首次提出了介入放射学的设想.1964年,Dotter的一次意外操作开创了经皮血管成形术的新纪元,标志着介入放射学的形成,在此基础上发展出球囊导管扩张术和金属支架植入术.1969年,血管内支架的设想被提出.1973年,柔软的双腔球囊导管的出现使经皮血管成形术有了突破性的进展.1977年,经皮血管成形术被应用于冠状动脉.20世纪90年代,金属支架出现,球囊成形术退居辅助地位.目前,可回收支架、覆膜支架和生物学支架,使血管支架又进入了一个新的阶段.经导管血管栓塞术始于1965年,是介入放射学最重要的基本技术之一.随着栓塞剂的发展以及导管技术的改进,该技术也有了相应的发展,目前已应用于多种疾病的治疗.经颈静脉肝内门体静脉分流术是最具代表性的综合介入放射学技术,该技术始于1967年的一种经颈静脉途径到达胆道系统的方法.1986年,球囊膨胀支架建立分流道技术出现,形成现在的经颈静脉肝内门体静脉分流术.始于1972年的非血管性介入技术是介入放射学的另一重要分支,目前已应用于胰、肝、肾、脊髓、输卵管、食道等多个脏器疾病的诊治.1973年,中国大陆学者首次进行了血管造影术试验.20世纪80年代,介入放射学开始传入中国大陆,学习班(1981)和学术会议(1986)的举办促进了介入放射学在中国的发展.20世纪90年代以来,随着海外学者归国,中国与世界介入诊疗技术的差距逐渐缩小.
1923年,血管造影術首次成功用于人體.1953年,瑞典Sven-Ivar Seldinger醫生首創瞭Seldinger技術,為介入放射學的髮展奠定瞭基礎.1963年,Dotter首次提齣瞭介入放射學的設想.1964年,Dotter的一次意外操作開創瞭經皮血管成形術的新紀元,標誌著介入放射學的形成,在此基礎上髮展齣毬囊導管擴張術和金屬支架植入術.1969年,血管內支架的設想被提齣.1973年,柔軟的雙腔毬囊導管的齣現使經皮血管成形術有瞭突破性的進展.1977年,經皮血管成形術被應用于冠狀動脈.20世紀90年代,金屬支架齣現,毬囊成形術退居輔助地位.目前,可迴收支架、覆膜支架和生物學支架,使血管支架又進入瞭一箇新的階段.經導管血管栓塞術始于1965年,是介入放射學最重要的基本技術之一.隨著栓塞劑的髮展以及導管技術的改進,該技術也有瞭相應的髮展,目前已應用于多種疾病的治療.經頸靜脈肝內門體靜脈分流術是最具代錶性的綜閤介入放射學技術,該技術始于1967年的一種經頸靜脈途徑到達膽道繫統的方法.1986年,毬囊膨脹支架建立分流道技術齣現,形成現在的經頸靜脈肝內門體靜脈分流術.始于1972年的非血管性介入技術是介入放射學的另一重要分支,目前已應用于胰、肝、腎、脊髓、輸卵管、食道等多箇髒器疾病的診治.1973年,中國大陸學者首次進行瞭血管造影術試驗.20世紀80年代,介入放射學開始傳入中國大陸,學習班(1981)和學術會議(1986)的舉辦促進瞭介入放射學在中國的髮展.20世紀90年代以來,隨著海外學者歸國,中國與世界介入診療技術的差距逐漸縮小.
1923년,혈관조영술수차성공용우인체.1953년,서전Sven-Ivar Seldinger의생수창료Seldinger기술,위개입방사학적발전전정료기출.1963년,Dotter수차제출료개입방사학적설상.1964년,Dotter적일차의외조작개창료경피혈관성형술적신기원,표지착개입방사학적형성,재차기출상발전출구낭도관확장술화금속지가식입술.1969년,혈관내지가적설상피제출.1973년,유연적쌍강구낭도관적출현사경피혈관성형술유료돌파성적진전.1977년,경피혈관성형술피응용우관상동맥.20세기90년대,금속지가출현,구낭성형술퇴거보조지위.목전,가회수지가、복막지가화생물학지가,사혈관지가우진입료일개신적계단.경도관혈관전새술시우1965년,시개입방사학최중요적기본기술지일.수착전새제적발전이급도관기술적개진,해기술야유료상응적발전,목전이응용우다충질병적치료.경경정맥간내문체정맥분류술시최구대표성적종합개입방사학기술,해기술시우1967년적일충경경정맥도경도체담도계통적방법.1986년,구낭팽창지가건립분류도기술출현,형성현재적경경정맥간내문체정맥분류술.시우1972년적비혈관성개입기술시개입방사학적령일중요분지,목전이응용우이、간、신、척수、수란관、식도등다개장기질병적진치.1973년,중국대륙학자수차진행료혈관조영술시험.20세기80년대,개입방사학개시전입중국대륙,학습반(1981)화학술회의(1986)적거판촉진료개입방사학재중국적발전.20세기90년대이래,수착해외학자귀국,중국여세계개입진료기술적차거축점축소.
In 1923,angiography was first successively used for the human body.In 1953,a Swedish doctor Sven-Ivar Seldinger pioneered the Seldinger technique,which laid down the foundation of interventional radiology.In 1963,Charles Dotter first proposed the idea of interventional radiology.In 1964,Charles Dotter opened a new era of percutaneous angioplasty through accidental operation,marking the formation of interventional radiology.On this basis,the techniques of balloon catheter dilation and metal stent implantation was developed.Endovascular stent was proposed in 1969.In 1973,the percutaneous angioplasty has been a breakthrough with the emergence of soft double-lumen balloon catheter.Percutaneous coronary angioplasty is applied in 1977.Since the 1990s,balloon angioplasty relegated to secondary status with the emergence of metal stent.Currently,endovascular stent have entered a new stage with the emergence of temporary stent and stent grafts and biological stent.Transcatheter arterial embolization had been one of the most important basic techniques for interventional radiology since 1965,it had also been a corresponding development with the improvement of embolic agents and catheter technology for the treatment of diseases now.Transjugular intrahepatic portosystemic stent-shunt is a comprehensive interventional radiology technology since 1967,in which the biliary system can be reached through a jugular vein,and the improvement appeared with balloon expandable stent in 1986.Since 1972,non-vascular interventional techniques was another important branch of interventional radiology.Currently,it is applied in the diagnosis and treatment of many diseases of the internal organs like the pancreas,liver,kidney,spinal cord,Fallopian tubes,esophagus and other organs.In 1973,Chinese radiologist first conducted the angiography test.Interventional radiology was introduced into China in the 1980s,it was readily developed through the sponsoring of training class (1981) and academic conferences (1986).Along with the return of the overseas scholars,the gap in the interventional diagnosis and treatment technology between China and the world has been narrowing since the 1990s.