血管外科

美国医学协会将血管外科定义为外科手术的一个专门领域,它对疾病、创伤、体内动脉、静脉和淋巴管肿瘤进行诊断、治疗和研究,不包括颅内血管和靠近心脏的血管。在血管外科实践中,连接到腹腔内器官的主动脉和内脏血管、及颈部、上肢和下肢的动脉和静脉是治疗的主要目标。

治疗/临床的主要领域

血管外科治疗的主要领域可分为动脉性疾病、静脉性疾病和淋巴性疾病。动脉疾病包括主动脉、下肢动脉和连接到各种腹腔内器官的内脏动脉疾病。常见的静脉疾病包括上肢和下肢深静脉血栓形成和静脉曲张。淋巴系统疾病包括淋巴水肿。除了定期门诊外,我们为CVM或糖尿病足患者运营独特的诊所。在特殊的诊所,我们尝试为非常具体和具有挑战性血管疾病的病人做多学科的治疗。

优势

对于血管性疾病的诊断和治疗,我们确保与其他专业和专家合作以最大限度地提高治疗效率和降低并发症发生率。

1. 主动脉疾病

大体上说,有两种类型的主动脉疾病。一个是动脉闭塞性疾病及腹主动脉瘤(AAA)。目前,前者通常实施血管内治疗,而后者则实施血管内动脉瘤修补(EVAR)和手术治疗。我们有足够的经验来处理具有挑战性的有复杂解剖或并存疾病的主动脉疾病。经我们手的选择性腹主动脉瘤的手术死亡率在0.3%左右,这是世界上最好的结果之一。

2. 外周动脉疾病(PAD)

我们已经进行了各种下肢旁路手术和动脉重建以及血管内介入。我们有许多由韩国的其他医院推荐过来的下肢动脉阻塞性疾病患者。我们对动脉粥样硬化患者的治疗策略是实施定制疗法,考虑多种共存疾病或危险因素、各种动脉解剖及个体患者的预期生活方式。由于我们的手术、血管内和血管干细胞生成,许多严重肢体缺血患者成功地抢救了他们的肢体,避免重大截肢。

3. 颈动脉疾病

颈动脉疾病被定义为颈动脉的动脉粥样硬化, 它是向大脑提供血液的颈动脉的一个主要颈动脉动脉,而且颈动脉狭窄已被称为缺血性中风的主要原因。最近在韩国,中风越来越频繁了,提高了对颈动脉疾病的认识。颈动脉狭窄的治疗方法包括颈动脉内膜切除术(CEA)和颈动脉支架成形术(CAS)。在血管外科,我们每年进行至少100例以上的颈动脉内膜切除手术或颈动脉支架置入手术,并显示优异的累积结果,术后脑卒中发生率低至1%。

4. 静脉疾病

下肢静脉曲张及下肢深静脉血栓形成(DVT)是在血管外科实践中最常见的静脉疾病。我们把很多精力放在急性下肢深静脉血栓的早期诊断与治疗,这在住院病人中是常见的,特别在手术患者中。我们采用经导管直接溶栓、静脉内支架植入和使用肝素、华法林或新型口服抗凝药(NOAC)的抗凝治疗进行深静脉血栓治疗。在使用华法令阻凝剂的常规抗凝治疗中,我们医院在门诊运营抗凝治疗服务(ACS)以使用精确的抗凝剂量,最大限度地发挥其作用并减少抗凝剂不良反应。大多数静脉曲张是通过激光或射频热消融治疗的。

5. 先天性血管畸形(CVM)诊所

三星医疗中心的CVM已经积累了20年以上的经验,自从它在1994年开业以来,并在血管外科、在介入放射科、整形外科,整形外科,麻醉科及康复科间建立了一个性能优良的有机协同系统,作为世界上一个非凡的专业中心。它现在大约有3000位或更多的CVM注册患者。我们已经在著名的国际医学期刊上呈现了我们在治疗血管畸形方面的经验和成果,以实现高学术表现。目前,许多外国患者访问CVM诊所以接受治疗。

6. 干细胞诊所

干细胞是身体中所有细胞的来源,并可以无限地自我再生及分化成任何必要的细胞。我们将成人干细胞注入到血栓闭塞性脉管炎(一种通常影响年轻吸烟者的血管炎)患者的缺血肢体内,以改善缺血性症状。这一领域是正在发展并是我们治疗缺血性肢体的希望之一。

7. 其他罕见血管疾病

除了上述血管疾病外,我们在罕见的血管疾病治疗上有经验丰富,如胸腔出口综合症、颈动脉体瘤、胡桃夹综合症、肠系膜动脉缺血,肾动脉病、雷诺氏病、多发性大动脉炎,并取得了良好的治疗效果。

最新的治疗方法

  • 主动脉瘤腔内修复术(EVAR)或其他杂交手术(联合开放手术和腔内手术)
  • 实施冷冻保存的人同种异体移植的主动脉重建以治疗主动脉瓣感染。
  • 利用手臂静脉移植物的下肢动脉重建
  • 血栓闭塞性脉管炎的干细胞治疗
  • 外周动脉疾病导管术
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Patients' Rights and Responsibilities

Patients' Rights

1. Right to receive medical care

Patients have the right to receive proper care in a safe setting without discrimination nor should their right to care be violated regardless of their gender, age, religion, social status, nationality, language, race, or physical/mental/financial status. Medical teams shall not refuse to provide care without justifiable reason.

2. Right to be informed and to make an autonomous decision

Patients have the right to obtain full and complete information from their medical team, to ask questions, and to determine their agreement or refusal concerning: diagnosis, treatment (purpose, plans and methods), outcomes of care (including unanticipated outcomes), discharge plan, participation in medical research studies, organ transplantation/donation, etc. Within ethical boundaries, patients may discontinue or refuse treatment, request that the medical team explain and suggest alternative treatments, and reserve the right to make their own decisions.

3. Right to confidentiality

Patients' rights to confidentiality regarding their physical/health status and privacy will not be violated. Patients can expect that all medical records/reports and their personal privacy will be kept confidential unless the patient has given consent or disclosure is permitted by law. To ensure their privacy, patients may be informed that Individuals not directly involved in their care may not be present and that the number of guardians accompanying patients to consultation rooms may be limited.

4. Right to request consultation and mediation

In the event of a medical dispute, patients may request consultation and mediation from an internal or external agency (Korea Consumer Agency, Korea Medical Dispute Mediation and Arbitration Agency).

5. Right to have values and beliefs respected

Patients will not be discriminated against because of their culture, religious values, or beliefs, and their rights will not be violated.

6. Right to receive care in a safe setting

Patients have the right to receive hospital-provided care where the patient’s medical information is protected and patient safety can be assured. In addition, patients have the right to be protected from possible dangers that can occur in a hospital and to have stability of mind and body.

Patients' Responsibilities

1. Responsibility to trust and respect the medical team

Patients must accurately inform the medical team of their health condition and must trust and respect the medical team's treatment plan. Patients may be responsible for consequences that result from not following instructions.

2. Responsibility to not use dishonest methods for medical treatment

Patients must reveal their identity before receiving any medical care and must not use false or dishonest methods, such as seeking medical care under disguised ownership.

3. Responsibility to abide by all hospital regulations

Patients are expected to treat all hospital staff and other patients with courtesy and respect; to abide by all hospital rules; and to earnestly fulfill their financial obligation to the hospital. Also, patients and their family members are expected to participate in all safety regulations.