扬州市第一人民医院血管外科正式成立于2010年7月1日，是苏北、苏中地区独立的血管专科（二级学科），扬州市临床重点专科。科室成立之初即以血管疾病的快速诊断和微创治疗为特色，集医疗、教学、科研、预防保健为一体，为海内外血管病患者提供最为专业的诊治和护理。

学科带头人孙蓬，扬州市第一人民医院大外科副主任，血管外科主任，主任医师，副教授，硕士研究生导师。国际血管联盟（IUA）中国分会青年委员会副主任委员。2010年美国哈佛大学医学院（HarvardMedicalSchool）附属马萨诸塞州总医院（MassachusettsGeneralHospital，MGH，麻省总医院）血管中心访问学者。2013年以色列国特拉维夫大学（Israel-TelAvivUniversity）附属医院血管外科高级访问学者。2011年获国家发明专利1项；2012年受聘为中国红十字基金会扬州曜阳国际老年公寓医疗顾问；2013年江苏省第四期“333高层次人才培养工程”中青年科学技术带头人；扬州市学术技术带头人。参与撰写全国普通高等教育临床医学专业“5+3”十二五规划教材《外科学》、《医疗机构医务人员「三基」训练指南【外科】》、《普外科疾病诊断流程与治疗策略》、《内分泌科精要》等专著。

从事血管外科及血管介入专业多年，采用国际先进技术，治疗各种疑难血管疾病。擅长：颈动脉疾病；胸、腹主动脉瘤；主动脉夹层；肾动脉狭窄性高血压；下肢动脉硬化闭塞症；血栓闭塞性脉管炎；糖尿病足的微创手术及介入治疗。深静脉血栓的规范化治疗；静脉曲张微创微痕手术及硬化剂治疗；静脉功能不全（老烂腿）的内镜微创治疗。

目前扬州市第一人民医院血管外科诊疗范围涵盖了除心脑血管以外的全身动静脉系统疾病：包括主动脉夹层；胸、腹主动脉瘤；多发性大动脉炎；颅外颈动脉狭窄症（缺血性脑中风、脑梗塞）；颈动脉瘤；颈动脉体瘤；锁骨下动脉狭窄；肠系膜血管疾病；周围和内脏动脉瘤；肾血管性高血压；下肢动脉硬化闭塞症；血栓闭塞性脉管炎；糖尿病足；急性动脉栓塞或血栓形成；深静脉血栓形成；肺栓塞；下肢静脉曲张；髂静脉压迫综合征；急性淋巴管炎；各种急诊血管损伤等疾病。

科室医疗特色：

一、动脉疾病：

1、颈动脉狭窄症的颈动脉内膜剥脱术（CEA）及脑保护伞下颈动脉支架植入术（CAS），颈动脉瘤的开放手术及介入治疗，颈动脉体瘤切除术（或剥除术）及人工血管间置术。

2、主动脉夹层（夹层动脉瘤）介入治疗，弓部病变复合手术。

3、胸主动脉瘤介入治疗；胸腹主动脉瘤、腹主动脉瘤、周围和内脏动脉瘤切除术及介入治疗。

4、多发性大动脉炎的介入治疗及人工血管旁路术。5、肠系膜血管疾病介入治疗及血管重建手术。6、肾血管性高血压的介入治疗。7、下肢动脉硬化闭塞症的介入治疗或血管旁路术。8、糖尿病足的综合治疗。

二、静脉疾病：

1、下肢浅静脉曲张微创、微痕手术及硬化剂注射治疗。

2、下肢穿通静脉瓣膜功能不全的内镜深筋膜下穿通静脉离断术（SEPS）。

3、深静脉血栓形成及肺栓塞的规范化治疗。4、髂静脉压迫综合征的介入治疗或开放手术。6、深静脉血栓后遗综合症的介入治疗及综合治疗。

三、其他血管疾病：

1、血管损伤的急诊手术抢救治疗。2、透析用血管通路手术及瘘修复术。

西区医院目前拥有多台先进仪器设备，其中德国西门子公司最新推出的国内第一台128层螺旋CT和3.0T短磁体核磁共振、英国Diomed大隐静脉激光治疗仪、高档彩色多普勒超声（Duplex)以及带DyanCT功能的DSA、ECT等，为该院血管外科提供国际水准的发展平台。尤其是拥有国内为数不多的配备血管造影机和血管超声系统的国内一流的一站式血管复合手术室，可以进行“一站式杂交”手术（one-stophybridprocedures）。血管外科非侵入性实验室可进行高水平的血管疾病临床研究。通过报纸、电台、电视台、讲座等宣传方式，不断扩大科室影响，为国内及海外血管病患者提供最为专业的诊疗和护理。

扬州市第一人民医院血管外科成立以来，成功开展了急性肠系膜上动脉栓塞导管取栓术、肠系膜上动脉夹层球囊扩张支架植入术、急性上肢动脉栓塞及下肢动脉栓塞球囊导管取栓术、腹主动脉瘤切除术及介入治疗、胸主动脉夹层介入治疗、复杂胸主动脉弓部夹层的颈动脉-锁骨下动脉架桥术加覆膜支架植入术、颈动脉狭窄的颈动脉内膜剥脱术及脑保护伞下支架植入术、（无脉症）锁骨下动脉狭窄球囊扩张支架植入术、大动脉炎的球囊扩张术、肾动脉狭窄球囊扩张支架植入术、下肢动脉硬化闭塞症及糖尿病足下肢血管病变的球囊扩张支架植入术、血栓闭塞性脉管炎的自体大隐静脉旁路移植术、大血管损伤的血管修复术，以及腹腔镜下穿通静脉离断术、微创大隐静脉点式剥脱术，其中颈动脉内膜剥脱术、肠系膜上动脉栓塞导管取栓术、腹腔镜下穿通静脉离断术、腹主动脉瘤切除术及介入治疗、主动脉夹层介入治疗、大血管损伤的血管修复术的顺利完成填补了医院的空白；静脉曲张微创手术、静脉性溃疡的新疗法，为饱受血管病疾苦的患者带来福音。

扬州市第一人民医院血管外科接受世界各地的进修医生来院进行规范化的血管外科和血管介入诊疗技术培训。血管外科定期同欧、美等国家的多家医院血管外科进行交流，努力使血管外科的技术和研究保持与国际同步，打造具有国际水准的血管外科就医平台。在血管外科主任孙蓬教授的带领下，努力使科室在临床、教学、科研、科普教育等各方面全面发展。

IntroductionofVascularandEndovascularSurgeryDivisionofYangzhouNo.1HospitalTheVascularandEndovascularSurgeryDivisionofYangzhouNo.1HospitalwasformallyestablishedonJuly1,2010.SheisanindependentvascularspecialtyandakeyclinicalspecialtyinthenorthernandcentralareasofJiangsuProvince.Sinceestablishment,ourdivision,featuredwithrapiddiagnosis&minimallyinvasivetreatmentofvasculardiseasesandintegratingmedicaltreatment,education,scientificresearch,prevention&healthcare,hasbeenprovidingoverseasanddomesticangiopathypatientswiththemostprofessionaldiagnosis,treatmentandnursing.

Dr.PengSUN,theacademicleaderandChiefPhysician,isalsoDeputyDirectoroftheSurgeryDepartment,DirectorofVascularandEndovascularSurgeryDivisionofYangzhouNo.1Hospital,AssociateProfessorandPostgraduateTutorofMedicalSchoolofYangzhouUniversity.HeistheViceChairmanoftheChinaBranchoftheYouthCommitteeoftheInternationalUnionofAngiology(IUA).Besides,hewasalsoavisitingscholarofVascularCenterofAffiliatedMassachusettsGeneralHospital(MGH)ofHarvardMedicalSchoolin2010.In2013,HedidclinicresearchatTelAvivUniversity(Israel)astheSeniorVisitingScholar.Heobtainedonenationalinventionpatentin2011.HehasbeenemployedasamedicaladviserbyYaoyangYangzhouInternationalApartmentsfortheElderlyofChineseRedCrossSociety(http://www.yaoyangchina.com/home.asp)since2012.HeisoneoftheYoungandmiddle-agedscientificandtechnicalleadersofJiangsuProvince.HeisalsoYangzhouCityAcademicTechnologyleader.ParticipateinwritingSurgery(twelfthfive-yearplanningofTextbookforClinicalMedicineofNationalRegularHigherEducation),Surgicalthree-basetrainingguideformedicalstaff,Diagnosisprocessesandtreatmentstrategiesingeneralsurgery,Essentialsofendocrineandsoon.

Hehasbeenengagedinvascularsurgeryandvascularinterventionformanyyearsandadoptsinternationaladvancedtechnologytocurevariouscomplexvasculardiseases.Heisskilledinminimallyinvasivetreatmentandinterventionaltreatmentof:carotidarterydiseases,thoracicandabdominalaorticaneurysms,dissectionofaorta,renovascularhypertension,arteriosclerosisocclusivediseaseoflowerextremity,Buerger'sdisease,diabeticfoot;standardizedtreatmentofdeepvenousthrombosis;minimallyinvasiveµscaroperationandsclerotherapyofvaricosevein,endoscopicminimallyinvasivetreatmentofperforatingveininsufficiency(oldsoddenleg).Currently,thediagnosisandtreatmentscopeofVascularandEndovascularSurgeryDivisionofYangzhouNo.1Hospitalincludesarterialandvenousvascularsystemdiseasesofthewholebodyexcludingheartandcerebralvessels:includingdissectionofaorta;thoracicandabdominalaorticaneurysms;Takayasudisease;extracranialcerebrovasculardisease(ischemicstrokeandinfarction);carotidaneurysm;carotidbodyaneurysm;subclavianarterystenosis;mesentericvasculardisease;peripheralandvisceralaneurysm;renovascularhypertension;lowerextremityarteriosclerosisocclusivediseases;Buerger'sdisease;diabeticfoot;acutearterialembolismorthrombosis;deepvenousthrombosis;pulmonaryembolism;lowerextremityvaricoseveins;iliacveincompressionsyndrome;acutelymphangitis;hemangiomas;vascularmalformations;variousemergencyvascularinjury,etc.

Division’sMedicalFeatures:

I.ArterialDiseases

1.Carotidendarterectomy(CEA),carotidarterystenting(CAS),opensurgeryandendovascularaneurysmrepair(EVAR)ofcarotidaneurysm,carotidaneurysmbodyresectionandinterpositiongrafting.

2.AorticdissectionEVAR,aorticarchordistalofascendingaorticlesion'scomplexsurgery.

3.ThoracicaorticaneurysmEVAR,Abdominalaorticaneurysm,Thoracoabdominalaorticaneurysm,peripheralandvisceralvascularaneurysmresectionsurgeryandEVAR.

4.Takayasu'sDiseaseEVARandbypassgrafting.

5.MesentericvasculardiseaseEVARandvascularreconstruction.

6.RenovascularhypertensionEVARandbypassgrafting.

7.LowerextremityarteryocclusivediseaseEVARandbypassgrafting.

8.Comprehensivetreatmentofdiabeticfoot.

II.VenousDiseases

1.Minimallyinvasivesurgeryandsclerotherapyofvaricosevein.

2.Subfascialendoscopicperforatorsurgery(SEPS)ofLowerextremityperforatingvenousinsufficiency.

3.Standardizedtreatmentofdeepvenousthrombosisandpulmonaryembolism.

4.Budd-ChiarisyndromeEVARorinferiorvenacavareplacement.

5.EVARandbypassgraftingforIliacveincompressionsyndrome.

6.EVARandbypassgraftingforpostthrombosissyndrome.

III.OtherVascularDiseases

1.Emergencysalvagesurgeryforvascularinjury.

2.Dialysisvascularaccesssurgeryandfistularepairsurgery.WestBranchofYangzhouNo.1Hospitalcurrentlypossesmanyadvancedequipment.Wherein,first128-slicespiralCTinChina,releasedbySiemens,3.0Tmagneticresonanceimage(MRI),BritishDiomedlaserablationequipmentforgreatsaphenousvein,ColorDopplerultrasound(Duplex),Digitalsubtractionangiography(DSA)andEmissionComputedTomography(ECT)withDyanCTfunction,etc.,offeradevelopmentplatformwithinternationalstandardstotheVascularSurgeryDivisionofourhospital.Especiallythepossessionofadomesticinfrequentandfirst-classvascularhybridoperatingroomequippedwithangiographymachine&vascularultrasoundsystemenablesustocarryouttheoperationof‘one-stophybrid’procedures.Influenceofthedivisionhasbeenexpandedandthemostprofessionaldiagnosis,treatment&nursingareofferedtooverseasanddomesticangiopathypatients.

Sinceestablishedin2010,theVascularandEndovascularSurgeryDivisionofYangzhouNo.1Hospitalhassuccessfullyaccomplishedacutesuperiormesentericarteryembolectomy,superiormesentericarterydissectionballoon-expandablestentplacement,acuteupperextremityorlowerextremityarterialembolectomy,abdominalaorticaneurysmresectionandendovascularrepair,thoracicaorticdissectionendovascularrepair,carotidartery-subclavianarterybridgingsurgerypluscarotidstentimplantationforcomplexaorticarchdissection,carotidendarterectomy(CEA)andcarotidarterystenting(CAS),subclavianarterystenting,Takayasudiseaseballoonangioplasty,renovascularstenting,vascularballoon-expandingandstentingforlowerextremityarteryocclusivediseaseanddiabeticfoot,autologousgreatsaphenousveinbypassgraftingforBuergerdisease,angioplastyofgreatvascularinjury,Subfascialendoscopicperforatorsurgery(SEPS),greatsaphenousveinhighligationandstrippingplusexcisionoflocalvaricosities(minimalinvasion).Wherein,thesuccessfulcompletionofcarotidendarterectomy(CEA),superiormesentericarteryembolectomybyFogartycatheter,subfascialendoscopicperforatorsurgery(SEPS),abdominalaorticaneurysmresectionandendovascularrepair,thoracicaorticdissectionendovascularrepair&repairofgreatvesselinjuryhavemadeuptheinsufficiencyofthehospital.Furthermore,minimallyinvasivesurgeryandnewtherapyforvenousulcersbringgospeltothepatientssufferingfromdiseasetothefullestextent.

TheVascularandEndovascualrSurgeryDivisionofYangzhouNo.1Hospitalwelcomesthedoctorsallovertheworldtoourhospitalforadvancedandstandardizedtrainingofvascularsurgeryandintervention.TheVascularandEndovascualrSurgeryDivisionregularlycommunicateswithanumberofhospitalsinEurope,America,etc.,tryingtomakehertechnology&researchkeepupwiththeinternationallevelandtocreateamedicalplatformofinternationalstandards.UndertheguidanceofProfessorPengSUN,wewilltrytomakecomprehensivedevelopmentsineachaspectsuchasclinic,medicaleducation,scientificresearchandsciencepopularizationeducation.