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中华普通外科学文献(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 391 -394. doi: 10.3877/cma.j.issn.1674-0793.2021.05.018

综述

无症状腹主动脉瘤治疗进展
刘德朗1, 陈世远1,()   
  1. 1. 233000 蚌埠医学院第一附属医院血管外科
  • 收稿日期:2021-01-14 出版日期:2021-09-28
  • 通信作者: 陈世远

Progress in the treatment of asymptomatic abdominal aortic aneurysm

Delang Liu1, Shiyuan Chen1,()   

  1. 1. Department of Vascular Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China
  • Received:2021-01-14 Published:2021-09-28
  • Corresponding author: Shiyuan Chen
引用本文:

刘德朗, 陈世远. 无症状腹主动脉瘤治疗进展[J]. 中华普通外科学文献(电子版), 2021, 15(05): 391-394.

Delang Liu, Shiyuan Chen. Progress in the treatment of asymptomatic abdominal aortic aneurysm[J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(05): 391-394.

腹主动脉瘤(AAA)是临床常见疾病,选择性动脉瘤修复是防止破裂最有效方法,包括开放手术和血管腔内修复治疗。在确定何时进行选择性AAA修复时,其他因素如患者的年龄、动脉瘤扩张的速度、共存的外周动脉疾病及外周动脉瘤的存在也是重要的考虑因素。因此,无症状AAA日常如何管理、何时做选择性手术、选用何种修复方法及患者施行手术后的近期和远期疗效是血管外科医师需面对的问题。本文将对无症状AAA的治疗状况及管理措施进行综述,以期为临床诊疗提供参考。

Abdominal aortic aneurysm (AAA) is a common disease in clinic. Selective aneurysm repair which including open surgery and endovascular aneurysm repair (EVAR) is the most effective method to prevent rupture in asymptomatic patients. Other factors such as the patients’ age, the rate of aneurysm dilatation, coexisting peripheral artery disease and the presence of peripheral aneurysms are also important factors in determining when selective AAA repair is performed. Therefore, how to manage asymptomatic AAA patients daily, when to perform selective surgery, what kind of repair method to choose and the short-term as well as long-term effect of patients after operation are the problems which vascular surgeons have to face. This article will review the treatment status and management measures of asymptomatic AAA, in order to provide reference for clinical diagnosis and treatment.

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