Stanford B型主动脉夹层治疗进展

Current progress in the treatment of Stanford type B aortic dissection

近年来主动脉夹层(AD)发病率和检出率日益增高,临床上越来越引起重视。随着介入技术日益发展,血管腔内治疗已成为AD主要治疗方法之一。研究发现,存在AD远端破口是影响胸主动脉腔内修复术中远期疗效的重要因素之一。该文从AD流行病学表现、分期分型、基础治疗和介入治疗方式进行综述分析,并就Stanford B型AD远端破口治疗研究进展作一总结,为临床术式决策提供可行参考。

In recent years,the incidence and detection rate of aortic dissection(AD)have increased year by year,which has attracted more and more attention in clinic.Along with the development of interventional technique,endovascular therapy has become one of the main treatment methods of AD.According to recent studies,the presence of distal AD rupture is one of the important factors affecting the long-term efficacy of thoracic endovascular aortic repair.This article reviews the latest progress in the treatment of Stanford B AD,focusing on the analysis of AD epidemiological features,staging,typing,basic treatment and interventional therapy,and the research progress in the treatment of Stanford type B associated with distal rupture is summarized so as to provide a feasible reference for clinical surgical decision-making.