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find Keyword "血管介入" 3 results
  • Interventional Treatment for the Patients with Type 2 Diabetes Combined with Vascular Lesions of Lower Extremities

    【摘要】 目的 探讨2型糖尿病合并下肢血管病变血管内介入治疗的临床意义。 方法 2009年1-5月对4例2型糖尿病合并下肢血管病变患者,根据血管狭窄情况选择不同介入治疗方式,行下肢动脉造影及动脉球囊扩张或支架成形术。 结果 4例患者均有表现静息痛及间歇性跛行,下肢血管超声显示糖尿病下肢动脉有不同程度的斑块、狭窄与血栓形成,病变累及下肢股动脉、髂动脉及胫前、足背动脉。介入治疗后患者下肢血管灌注得到明显改善,静息痛及间歇性跛行明显改善,皮温改善,需要截肢患者截肢平面显著降低。 结论 通过下肢血管DSA造影检查,准确了解糖尿病患者下肢血管的阻塞部位及程度,在保守治疗基础上选择不同方式的介入治疗,有助于下肢血管病变的明显改善。【Abstract】 Objective To investigate the clinical significance of intervention therapy for patients with type 2 diabetes combined with vascular lesions of lower extremities. Methods From January to May, 2009, four diabetic patients with vascular lesions of lower extremities were examined by Doppler ultrasonography and digital subtration angiography (DSA). All patients were treated by percutaneous transluminal angioplasty (PTA) or stenting therapy. Results Stenoses and obstruction of lower extremity blood vessels were observed in all patients. After intervention therapy, vascular perfusion of lower extremities was improved and signs of rest pain and intermittent claudication were relieved; the skin temperature was improved, and the amputation level was apparently decreased. Conclusion It suggests that DSA is effective in judging extend and location of blood vessel stenosis,and the interventional treatment could lead to a satisfying prognosis.

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  • 血管介入联合气道介入治疗晚期中央型肺癌中心气道重度狭窄

    目的 探讨血管介入联合气道介入治疗在晚期中央型肺癌中心气道重度狭窄的临床应用价值。 方法 32 例晚期中央型肺癌中心气道重度狭窄患者于局麻下接受血管介入支气管动脉灌注化疗(BAC)和支气管动脉栓塞(BAE)肺癌供血血管介入治疗,然后在全麻下经电子支气管镜行冷冻切除、高频电、氩气刀(APC)、支架置入等气道介入治疗。测定患者治疗前及治疗后 2 周的气促指数、气道管径、FEV1%pred、Karnofsky 评分(KPS)、6 分钟步行距离(6MWD),以及血清鳞状细胞癌相关抗原(SCCA)、非小细胞肺癌相关抗原细胞角蛋白 19 片段抗原 21-1(CYFRA21-1)、神经元烯醇化酶(NSE)及癌胚抗原(CEA)水平。比较各指标治疗前后的变化,观察疗效及并发症。 结果 32 例患者均顺利完成 BAC+BAE 血管介入治疗联合气道介入治疗,临床有效率为 96.9%。气道介入麻醉方式:喉罩全麻 3 例,气管插管全麻 29 例。气道介入治疗方法:高频电烧灼治疗 28 例,电圈套 8 例,APC 治疗 16 例,冷冻切除治疗 26 例,气道支架置入 5 例。所有患者治疗后气促指数、气道管径、FEV1%pred、KPS 及 6MWD 各指标与治疗前比较均有显著改善(P 均<0.05),血清 SCCA、CYFRA21-1、NSE、CEA 水平较治疗前显著下降(P 均<0.05)。治疗过程中出现恶心呕吐 2 例,无气道大出血病例,无严重及致死性并发症。 结论 血管介入联合气道介入治疗晚期中央型肺癌中心气道重度狭窄具有微创、气道出血少、近期疗效确切的优势,具有很好的临床应用价值。

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  • Research on real-time detection system of catheter delivering force in vascular interventional robots

    In existing vascular interventional surgical robots, it is difficult to accurately detect the delivery force of the catheter/guidewire at the slave side. Aiming to solve this problem, a real-time force detection system was designed for vascular interventional surgical (VIS) robots based on catheter push force. Firstly, the transfer process of catheter operating forces in the slave end of the interventional robot was analyzed and modeled, and the design principle of the catheter operating force detection system was obtained. Secondly, based on the principle of stress and strain, a torque sensor was designed and integrated into the internal transmission shaft of the slave end of the interventional robot, and a data acquisition and processing system was established. Thirdly, an ATI high-precision torque sensor was used to build the experimental platform, and the designed sensor was tested and calibrated. Finally, sensor test experiments under ideal static/dynamic conditions and simulated catheter delivery tests based on actual human computed tomography (CT) data and vascular model were carried out. The results showed that the average relative detection error of the designed sensor system was 1.26% under ideal static conditions and 1.38% under ideal dynamic stability conditions. The system can detect on-line catheter operation force at high precision, which is of great significance towards improving patient safety in interventional robotic surgery.

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