主动脉夹层术后残余夹层重塑的影响因素与干预措施  

Influential factors and interventions of aortic remodeling in residual aortic dissection after surgical repairs

作　　者：张宸翰 钟永亮[1] 陈苏伟 朱俊明[1] Zhang Chenhan;Zhong Yongliang;Chen Suwei;Zhu Junming(Department of Cardiovascular Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing Aortic Disease Center,Beijing Institute of Heart Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院主动脉外科中心,北京100029

出　　处：《中华胸心血管外科杂志》2024年第3期172-178,共7页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金(81970393, 81900325);北京市科技计划项目(Z191100006619093, Z191100006619094)。

摘　　要：主动脉夹层是心血管外科的危急重症, 根据是否累及升主动脉可分为Stanford A型和B型夹层。目前A型夹层的主流治疗方案为开胸主动脉置换, B型夹层可根据情况选择介入治疗、开放手术治疗或是药物保守治疗。但不管何种治疗方案, 都很难一次性解决所有夹层累及的主动脉, 因此主动脉残余夹层普遍存在于夹层患者中。本文从主动脉夹层术后残余夹层重塑的定义、预后情况以及影响因素等主动脉重塑的热点问题做一综述。The aortic dissection is a critical emergency in cardiovascular surgery and can be classified as Stanford type A and type B aortic dissection depending on whether the ascending aorta is involved.Currently,the mainstream treatment option for type A aortic dissection is open surgery,while type B dissection can be treated by interventional therapy,open surgery,or optimal medical therapy depending on the situation.However,regardless of the treatment option,it is difficult to resolve all the problems at once.As a result,residual aortic dissection is commonly found in patients with aortic dissection.This article will review the hot issues of aortic remodeling in terms of the definition,prognosis,and risk factors.

关 键 词：主动脉夹层 干预措施 

分 类 号：R654.3[医药卫生—外科学]