CT分型指导自发性孤立性肠系膜上动脉夹层治疗选择的研究进展  

Research progress of treatment options on spontaneous isolated superior mesenteric artery dissection based on computed tomography imaging classification

作　　者：李渔 郝迎学 Li Yu;Hao Yingxue(Department of Vascular Surgery,the First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学第一附属医院血管外科,重庆400038

出　　处：《中华消化外科杂志》2023年第3期419-424,共6页Chinese Journal of Digestive Surgery

基　　金：军队医学科技青年培育计划拔尖项目(20QNPY028)。

摘　　要：自发性孤立性肠系膜上动脉夹层(SISMAD)发病率低,曾被认为是一种罕见病。近年来,随着增强CT检查的广泛应用,SISMAD的报道增多。目前对SISMAD的最佳治疗方案尚未达成共识,其CT分型有多种,但尚无一种公认的CT分型用于指导其临床治疗。国外的学者认为多数SISMAD可通过保守治疗改善症状,而我国学者则更倾向于采用腔内介入治疗。笔者就CT分型指导SISMAD治疗选择的研究进展进行综述。Because of the low incidence rate,spontaneous isolated superior mesenteric artery dissection(SISMAD)is once considered as a rare disease.In recent years,with the widespread application of enhanced computed tomography(CT),reports of SISMAD have increased.At present,there is no consensus on the optimal treatment of SISMAD,and there are various imaging classifica-tions based on CT.However,clinical management strategy for SISMAD according to any imaging classification based on CT has not yet been acknowledged.Foreign scholars believe that conservative treatment can improve symptoms in most SISMAD patients,while Chinese scholars prefer endo-vascular intervention.The authors review the research progress of treatment options on SISMAD based on computed tomography imaging classification.

关 键 词：血管疾病 肠系膜上动脉夹层 自发性 孤立性 影像学分型 X线计算机体层摄影术 治疗策略 

分 类 号：R572.3[医药卫生—消化系统]