自发性孤立性肠系膜上动脉夹层治疗进展

Recent progress in the treatment of spontaneous isolated superior mesenteric artery dissection

自发性孤立性肠系膜上动脉夹层(SISMAD)临床罕见,发病机制尚不清楚,治疗方案包括保守治疗、腔内血管重建术及手术治疗,三者各有利弊、互为补充,但尚未达成共识。介入科医师应当充分根据患者的临床症状、体征及影像学资料为患者制订合理的治疗策略,改善患者的预后。

Spontaneous isolated superior mesenteric artery dissection （SISMAD） is a rare disease in clinical practice and the mechanism of the disease is unclear so far. However, there are controversies over the reasonable management of SISMAD. The therapeutic means now employed in clinical practice include conservative management, endovascular repair and surgical treatment, etc. And each method has its own advantages and disadvantages, and these methods are mutually complementary. The interventional physicians should formulate a proper and individualized treatment strategy for each patient on the basis of the patient＇s clinical symptoms, signs and imaging findings.