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血管与血管内中心

血管与血管内中心

 

CVSKL的血管与血管内中心是一所拥有筛查,诊断, 监测和治疗的一站式医院。

什么是血管疾病?

人体的循环系统是由携带血液和 lymph through the body. Blood vessels are tubes and there are three (3) types of blood vessels:

  • 动脉:将所携带的氧气及养分, 从心脏运送到身体各部分的血管
  • 静脉:收集氧含量较低的血液和代谢废物, 回流入心脏的血管
  • 淋巴管:携带淋巴

血管疾病是指影响动脉,静脉和淋巴管的疾病。 不同的血管受累,结果会截然 不同。

  • 假设动脉出现狭窄或闭塞,该动脉所运送的血液将会被阻断,并影响该器官或特定的生理结构(例如:脚)。 blood flow to the affected organs or other body structures, e.g. the legs, may be 病人将会得脑卒中(俗称“中风”);如果该动脉是为下肢提供血液,病人将会出现疼痛, a ‘heart attack’ and if it is blood vessels to the brain, a stroke will result. If it is blood 。 leg (critical limb ischaemia).
  • 假设动脉壁薄弱,会导致动脉局限性一场扩张(动脉瘤), 最终将会导致动脉破裂,出血。
  • 在静脉内,血液在腔内不正常凝结导致血栓(深静脉血栓形成) 及静脉内的瓣膜功能不全导致静脉扩张 (静脉曲张,俗称“青筋”)

血管疾病有很多种类,其中比较常见的疾病包括以下几种:

  • 腹主动脉瘤
  • 周围动脉疾病
  • 颈动脉疾病
  • 颈动脉瘤
  • 静脉曲张
  • 深静脉血栓形成
  • 动静脉瘘
  • Hyperhidrosis (Sweaty Palms)

我们的服务

动脉

主动脉瘤

  • 腔内主动脉瘤修复手术
    • Endovascular Aneurysm Repair for AAA (EVAR)
    • Thoracic Endovascular Aneurysm Repair (TEVAR)
    • Custom-made Devices (CMD) – Fenestrated & Branched Stent Grafts for Thoracoabdominal Aneurysm / Aortic Arch Aneurysm
  • 开放式修复术

主动脉夹层

  • 血管内修复术
  • 开放式修复术

周边血管疾病

  • Angioplasty / Stenting
  • 旁路搭桥术
  • 复合手术

急性肢体缺血

  • 血栓切除术
  • 溶栓治疗

颈动脉

  • 动脉内膜切除术
  • Carotid Angioplasty / Stenting
  • 颈动脉瘤体切除术

肾动脉和内脏动脉

  • 血管成形术/支架置入术
  • 开放式手术

静脉

静脉曲张

  • Thermal Ablation – Radiofrequency / Endovenous Laser
  • Glue Closure
  • 开放式手术
  • 硬化剂注射治疗

深静脉血栓形成

  • 抗凝治疗
  • 溶栓治疗
  • 静脉造影及支架置入术

其他

血液透析的血管通路

  • 自体血管动静脉瘘
  • 人造血管动静脉瘘
  • 动静脉瘘失败后的血管成形术
  • 多次血管通路失败后的方案

动静脉畸形

  • 切除术
  • 栓塞术
  • 硬化剂注射治疗

中央静脉阻塞的治疗 - 血管成形术及支架置入术

多汗症的治疗 - 胸腔镜交感神经切除术

急诊

CVSKL的血管外科所接受的急诊病症包括:

  • 主动脉瘤破裂
  • 急性主动脉夹层
  • 急性肢体缺血
  • 血管创伤
  • 其他

 

我们的团队

血管及血管内中心的团队包括以下成员:

  • Two (2) Vascular & Endovascular Surgeons
  • Two (2) Vascular Technologists / Ultrasonographers
  • Two (2) Radiographers
  • Six (6) Vascular Nurses in the Hybrid OT

The team works closely with our Anaesthetist, Cardiothoracic Surgeons, Cardiologists and Nephrologists.

 

我们的设备

无创血管检查室

Situated at the Outpatient Department next to our doctors’ clinics, the Vascular Lab specializes in several tests that look at the condition of arteries and veins and how well blood flows in these vessels. The tests are performed by two (2) qualified ultrasonographers who work closely with our doctors.

Tests are done to examine the blood vessels throughout the body. These tests help to diagnose and plan the treatment of many vascular disease, including peripheral arterial disease (PAD), carotid artery disease, aneurysms, varicose veins, deep vein thrombosis (DVT) and vascular access (AV fistula). These tests are also used for surveillance and post-operative follow-up to monitor the success of surgery or endovascular procedures.

 
无创操作

 

上下肢血压比

 

  • 上下肢血压比是一项同时测量四肢血压以评估四肢分别的血液流动情况的检查
  • 脚踝和手臂的收缩期血压之比形成上下肢血压比。上下肢血压比提示双脚的血液循环情况。

多普勒超音波

 

多普勒超声可以评估动脉和静脉的血流情况。包括以下几种:

  • 颈动脉超声 - 颈动脉超声可以评估颈项中的血管有无可导致脑卒中(“中风”)的风险。
  • 腹部超声 - 可以通过腹部超声辨别和评估血管瘤或主动脉及其分支有无堵塞。
  • 下肢超声 - 下肢超声使用于评价可能导致下肢疼痛、溃疡和坏疽的动脉梗阻情况。

Most of these tests are done at the Vascular Lab, but duplex ultrasound is also increasingly being used in our Hybrid Operative Theatre pre-operation for planning of procedures, intraoperative and post-operative assessments.

Computed Tomography Angiography (CT Angiogram)

 

CTA 检查将会在放射科进行。CT是指用X线对人体特定部位进行扫描后,经过电脑计算后得出人体的横截面影像图。CTA是指对病人注射了造影剂(一般为碘造影)后进行CT检查,CTA检查可以获得更清晰的血管和组织的影像图。所注射的造影剂也称对比剂,因为注射了造影剂后血管和组织将会被“点亮”。CTA所重组出的图片是以3D的形式呈现,以作为术前的研究。这些图片将会协助外科医生规划针对性的治疗方案。CTA通常用于评估主动脉(胸部和腹部)及其分支的动脉瘤和梗阻情况。也可以用于评估颈动脉和下肢动脉。

复合手术室

 

A Hybrid Operating Theatre (Hybrid OT) is a room that combines a traditional Operating Theatre with an image guided Interventional Suite. This combination allows us to do complex open surgery or advanced intervention procedures as well as a combination of both (open surgery and intervention procedures, also called hybrid surgery) as a single procedure in the same patient. The Hybrid OT helps us to provide the optimal treatment and the best outcome for the patients.

与传统手术室一样,复合手术室也有着无菌室、手术台、手术无影灯和麻醉机。除此之外,也包括了一台成像设备。我们的成像设备拥有高度移动性,当有需要用到的时候,放射科技师会协助将成像设备移至特定的位置以取得最佳的成像;当没有需要的时候,成像设备将会停放在手术室的一角。

This state-of-art system is equipped with advanced imaging tools such as fusion imaging and rotational angiography. Fusion imaging is a novel technique that allows for integration of highly detailed computed tomographic (CT) images with fluoroscopy. Images from a previous CT scan is loaded and processed in a workstation to produce a 3D model of the vasculature which is then merged with the live fluoroscopic images. Unlike conventional angiography which gives us 2D images, Rotational angiography gives us CT-like 3D images. The C-arm rotates around the patient and acquires a series of x-ray images. These images are then reconstructed through software algorithms into 3D images.

 

特别方案

 

  • 主动脉的方案
  • The PAD & Diabetic Foot Programme (Limbs for Life)
  • 静脉中心
  • 血管通路方案

 

#心有所属

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