基础医学与临床 ›› 2018, Vol. 38 ›› Issue (5): 717-721.
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王勤宁,李旎,邵国丰
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摘要: B型主动脉夹层(TBAD)是一种致命性主动脉疾病。复杂性B型主动脉夹层通常需要紧急手术治疗以避免夹层破裂或者严重并发症导致死亡。腔内修复术的发展使得复杂性B型主动脉夹层的治疗策略从开放手术迈向微创手术。由于腔内修复术能够促进主动脉重构和预防远期动脉瘤样扩张,越来越多证据显示胸主动脉腔内隔绝术(TEVAR)治疗非复杂性B型主动脉夹层切实有效。
关键词: B型主动脉夹层, 腔内修复术, 治疗
Abstract: Stanford type B aortic dissection (TBAD) is a life-threatening aortic disease. Complicated TBAD patients require emergency surgical procedure to p-revent death caused by rupture or severe complication. The development of en-dovascular repair has shifted the management from extensive open surgical to minimally less invasive endovascular strategy. By reason of thoracic endovascu-lar aortic repair (TEVAR) could promote aortic remodeling and prevent late a-neurysmal dilatation, more and more evidences show that TEVAR is effective in the treatment of uncomplicated TBAD.
Key words: Stanford type B aortic dissection , endovascular aortic repair, treatment
王勤宁 李旎 邵国丰. B型主动脉夹层治疗进展[J]. 基础医学与临床, 2018, 38(5): 717-721.
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