外科理论与实践 ›› 2024, Vol. 29 ›› Issue (06): 529-532.doi: 10.16139/j.1007-9610.2024.06.12

• 综述 • 上一篇    下一篇

腔内成像技术在下肢静脉疾病中的应用

丁勇, 周旻, 李旭 综述, 郭大乔, 王利新, 史振宇 审校   

  1. 复旦大学附属中山医院血管外科 血管外科研究所 国家放射与治疗临床医学研究中心,上海 200032
  • 收稿日期:2024-10-22 出版日期:2024-11-25 发布日期:2025-03-17
  • 基金资助:
    国家自然科学基金青年项目(82300534);复旦大学附属中山医院卓越住院医师博士后项目(2023ZYYS-009)

Application of intravascular imaging in lower extremities venous disorders

DING Yong, ZHOU Min, LI Xu, GUO Daqiao, WANG Lixin, SHI Zhenyu   

  1. Department of Vascular Surgery, Zhongshan Hospital, Institute of Vascular Surgery, National Clinical Research Center for Interventional Medicine, Fudan University, Shanghai 200032, China
  • Received:2024-10-22 Online:2024-11-25 Published:2025-03-17

摘要:

下肢静脉疾病的发病率高,严重危害病人的生活质量。腔内手术已成为下肢静脉疾病的重要治疗手段。术中常规使用的静脉造影无法提供静脉管腔内及周围结构的详细信息,而腔内成像技术如血管腔内超声和光学相干断层成像不仅能减少造影剂的使用、评估静脉管腔内及周围结构,而且精准测量并为后续治疗提供信息。本文梳理相关经验并总结腔内成像技术的成像原理、成像特点以及临床应用等,供临床实践参考。

关键词: 血管腔内超声, 光学相干断层成像, 下肢静脉疾病

Abstract:

The incidence of the lower extremity venous disorder is high, which seriously affects the quality of life in patients. Endovascular strategy has become an important treatment for venous disease of the lower extremity. Intraoperative venography usually can not provide detailed information about intravenous or perivascular structures. In contrast, endovascular imaging such as intravascular ultrasound and optical coherence tomography can not only reduce the use of contrast agents, evaluate intravenous and perivascular structures, but also accurately measure the anatomic parameters and provide information for subsequent treatment. This article reviewed the relevant experience and summarized the mechanism, characteristics, and clinical applications of intravascular imaging.

Key words: Intravascular ultrasound, Optical coherence tomography, Lower extremity venous disorder

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