首页|期刊导航|中国实用外科杂志|数智化助力血管外科疾病诊治进展和未来研究方向

数智化助力血管外科疾病诊治进展和未来研究方向OA

Digital intelligence advances diagnosis and treatment of vascular surgery diseases and future research directions

中文摘要英文摘要

数智化技术正推动血管外科疾病诊疗向数据与模型驱动转型.在血管外科疾病诊断领域,数智化不仅实现了解剖数据的精准评估,还实现了从静态解剖到动态功能的跨越:基于人工智能的影像分析实现了主动脉瘤等疾病的亚毫米级精准测量与自动化筛查;而四维CT、MRI与计算流体动力学相结合,则能对血流状态进行量化评估;新兴的"数字孪生"技术更可在术前虚拟空间中对治疗方案进行功能学验证与优化.在治疗领域,手术机器人是关键技术载体.血管介入机器人与开放手术辅助机器人已分别在下肢动脉、腹主动脉瘤及各类血管重建手术中证明了其提升操作稳定性与精准度的价值.此外,术中智能导航与增强现实技术通过实时图像融合与血管裸眼可视化,显著提升了手术效率与安全性.在医学教育中,虚拟手术仿真与智能教学系统为血管外科专科医师培养提供了可量化、可重复且无风险的训练平台,正深刻重塑着传统教学模式.然而,数智化的深入应用仍面临技术集成壁垒、高昂成本、数据安全与隐私保护、以及由多元主体带来的伦理与责任界定难题.展望未来,血管外科的数智化发展需聚焦于技术的深度整合与普惠化,同时构建完善的伦理规范体系,最终迈向以医生智慧为主导,人机协同共生的精准诊疗新时代.

Digitalization and intelligence are reshaping vascular surgery towards data-and model-driven paradigms.In diagnostics,digitalization has expanded capabilities from static anatomical assessment to dynamic functional evaluation:artificial intelligence enables submillimeter precision in measuring and screening pathologies such as aortic aneurysms;when integrated with four-dimensional CT,MRI,and computational fluid dynamics,it allows quantitative analysis of hemodynamics;and emerging digital twin technology offers a virtual platform for functional validation and optimization of treatment plans before surgery.In therapeutics,robotic systems serve as key enabling technologies.Both vascular interventional and open surgery-assisted robots have demonstrated enhanced operational stability and precision in procedures involving lower limb arteries,abdominal aortic aneurysms,and vascular reconstructions.Furthermore,intraoperative navigation and augmented reality improve surgical efficiency and safety through real-time image fusion and direct visual mapping of vasculature.In medical education,virtual surgical simulations and AI-driven tutoring systems provide quantifiable,reproducible,and risk-free training environments,fundamentally transforming how vascular specialists are trained.Despite these advances,broader implementation faces challenges such as technical integration hurdles,high costs,data security concerns,and unresolved ethical and liability issues involving multiple stakeholders.Moving forward,deeper technological integration,improved accessibility,and the development of comprehensive ethical frameworks are required to realize a future of precision surgery guided by clinicians in seamless collaboration with intelligent systems.

王睿涵;符伟国

复旦大学附属中山医院血管外科复旦大学血管外科研究所国家放射与治疗临床研究中心,上海 200032复旦大学附属中山医院血管外科复旦大学血管外科研究所国家放射与治疗临床研究中心,上海 200032

医药卫生

数智化周围血管疾病人工智能精准诊疗

digitalization and intelligenceperipheral vascular diseaseartificial intelligenceprecision diagnosis and treatment

《中国实用外科杂志》 2026 (1)

46-49,4

National Natural Science Foundation of China(No.82400567,No.82170493) 国家自然科学基金项目(No.82400567,No.82170493)

10.19538/j.cjps.issn1005-2208.2026.01.10

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