孤立性肠系膜上动脉夹层当前的诊疗问题及思考

Current diagnostic and therapeutic problems and thoughts on isolated superior mesenteric artery dissection

随着影像学技术的进步与普及,既往认为较为少见的孤立性肠系膜上动脉夹层(ISMAD)患者越来越多地被诊断。目前对ISMAD的认识及治疗决策存在诸多争议,各项诊疗推荐建议尚缺乏高质量的循证医学证据支持。本文从ISMAD的地域流行病学特点、现有临床分型的局限性、临床诊疗过程中的争议点及未来开展ISMAD临床研究的必要性和展望等方面进行简要介绍,以期读者更好地认识和了解ISMAD这一疾病。

With the advancement and popularization of imaging techniques,isolated superior mesenteric artery dissection(ISMAD),which was considered a rare condition,is increasingly diagnosed.Currently,there still exist many debates on the understanding and treatment of ISMAD and recommendations for diagnosis and treatment still lack high-quality evidence-based medical evidence.This article provides a brief introduction to the geographical and epidemiological characteristics of ISMAD,the limitations of existing clinical classifications,the controversial points in clinical diagnosis and treatment,and the necessity and prospect of conducting ISMAD clinical research in the future,with the aim of providing readers with a better knowledge and understanding of ISMAD.