腘动脉外膜囊肿（cystic adventitial disease of the popliteal artery,CADPA）是一种极罕见的非动脉瘤性腘动脉疾病，国内外文献鲜有报道。该病常常被误诊，目前诊断手段及治疗方式仍存在争议。笔者近期收治1例腘动脉外膜囊肿患者，现报道如下。1临床资料患者，男性，57岁，因右下肢间歇性跛行1年入院。患者出现间歇性跛行后在当地医院以腰椎间盘突出、腰椎管狭窄对症治疗，但症状一直未缓解。在我院行下肢CTA检查发现：腘动脉P2段局部管壁增厚、对应管腔重度狭窄，

目的 探讨计算机断层扫描血管造影(CTA)在颈动脉狭窄和颈动脉粥样硬化斑块形态评估中的应用价值.方法 收集2020年7月至2021年7月于航空总医院80例经初步检查拟诊为颈动脉狭窄患者的临床资料.所有患者均接受CTA、数字减影血管造影(DSA)检查.以DSA检查结果为诊断颈动脉狭窄及其严重程度的金标准,分析CTA检查对颈动脉狭窄的诊断效能(灵敏度、特异度、准确度),并分析其与DSA检查结果之间的一致性.结果 在80例经初步检查拟诊为颈动脉狭窄的患者中,共检查316段血管节段,DSA检查结果证实,发生颈动脉狭窄患者67例,共112段血管节段;未发生颈动脉狭窄患者13例,共204段血管节段.轻度、中度、重度狭窄及闭塞患者中检出的血管节段数量分别为34段、50段、20段、8段.CTA检查结果显示,发生颈动脉狭窄和未发生颈动脉狭窄患者分别为65例、15例.CTA诊断颈动脉狭窄的准确度、灵敏度、特异度分别为96.25％(77/80)、97.01％(65/67)、92.31％(12/13).CTA与DSA检查对颈动脉狭窄及其严重程度的诊断结果高度一致(Kappa=0.866、0.914,P<0.01).DSA检查结果显示,112段血管节段中,8段血管节段发生闭塞,其余104段发生狭窄的颈动脉中均存在粥样硬化斑块.CTA检查结果显示,在颈动脉斑块中,光滑斑块占比最高(65.38％),其次为不规则斑块(25.00％)和溃状斑块(9.62％).结论 CTA对颈动脉狭窄的诊断效能较高,不但能够准确了解狭窄程度,还能明确斑块形态,进而为临床提供更为详实的参考依据,应用价值较高.

目的:评价经桡动脉导管溶栓联合经皮腔内血管成形术(percutaneous transluminal angioplasty,PTA)治疗动静脉内瘘(arteriovenous fistula,AVF)急性血栓的效果. 方法:回顾性分析2013年1月至2018年12月航空总医院治疗的102例AVF血栓形成患者.所有患者术前均通过血管超声明确AVF血栓形成.均采用经桡动脉入路置管经导管溶栓及PTA治疗.Kaplan-Meier分析评价术后12月内AVF通畅性. 结果:在AVF血栓确诊后6～72h行溶栓联合PTA治疗,所有患者AVF均恢复通畅,其中92例(90.2％)患者存在血管狭窄,术后12月初级通畅率和次级通畅率分别为78.4％和95.9％.44例Ⅰ型狭窄患者中34例(74.4％)获得初级通畅,40例(90.9％)获得了次级通畅,48例Ⅱ型狭窄患者中38例(83.3％)获得初级通畅,48例(100％)获得了次级通畅.比较Ⅰ型狭窄和Ⅱ型狭窄,初级通畅率无统计学差异(P=0.292),次级通畅率有显著差异(P=0.035). 结论:本研究提示经桡动脉入路导管溶栓及PTA治疗前臂AVF急性血栓,可取得较高的手术成功率和长期通畅率.

Objective To evaluate the feasibility and safety of transradial cerebral angiography in patients with ischemic cerebrovascular disease.Methods Thirty-six patients of ischemic cerebrovascular disease underwent transradial cerebral angiography during Jul 2009 to Oct 2010.The efficacy and complications were retrospectively analyzed.Results Transradial cerebral angiography was performed via right radial artery approach in 28 cases and via left radial artery approach in 8 cases.Among all the 36 cases,angiography was performed successfully in 34(34/36,94.44%) and unsuccessfully in 2(2/36,5.56%).The failure was separately due to variation of vascular anatomy in 1 case and intraoperative dysphoria with neurological complications in another case.Conclusion Transradial cerebral angiography is safe,feasible and relatively comfortable for patients.However more skilled hands are recommended and careful consideration should be paid to avoid complications.

Objective:To observe clinical efficiency of partial splenic embolism in treatment of hypersplenism.Methods:19 patients with hyperplenism after hepatocirrhosis from December 02 to April 05 were operated by partial splenic embolism using genlatin sponge granule+ antibiotic.Results:After partial splenic embolism,the counts of PLT and WBC are improved noticeably,and the change of PLT is better than WBC.Conclusion:The partial splenic embolism is an effective therapeutic process for hypersplenism.

选择性支气管动脉灌注化疗(BAI)在中晚期肺癌的综合治疗上起着积极有效的作用.临床实践表现BAI对控制肿瘤的发展、延长生命和提高生活质量方面获得肯定的疗效[1].自1995年4月～2001年12月期间,对49例中晚期肺癌经支气管动脉灌注化疗就其结果和疗效进行分析.