心脏升主动脉瘤手术进展  

Advances in Surgical Treatment of Cardiac Ascending Aortic Aneurysm

作　　者：艾孜海尔·吐尔逊买买提 伊力哈木江·克尤木[1] 木拉提·阿布都热合曼[1] Aizihai’er Tu’erxunmaimaiti;Yilihamujiang Keyoumu;Mulati Abudureheman(The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;不详)

机构地区：[1]新疆医科大学第一附属医院,新疆乌鲁木齐830054

出　　处：《中外医学研究》2025年第4期159-162,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：升主动脉瘤是一种严重的大血管疾病,常伴有破裂风险和主动脉瓣关闭不全等问题。外科手术是治疗该病的主要方法,其中开放手术因其可靠性和低风险而被认为是标准治疗方法。本文综述了几种主要的外科手术方式,包括Bentall手术、Cabrol手术、David手术和Wheat手术,每种手术方式都有其特定的适应证和操作步骤。随着医疗技术的发展,微创手术逐渐成为另一种治疗选择,为患者提供了更小创伤和更快康复的可能。然而微创手术也存在一定的挑战,如操作空间狭窄和一定手术风险。全腔镜手术作为一种新兴技术,在心脏大血管手术中的应用前景广阔,但目前仍处于探索阶段。最终选择何种手术方式应基于患者的具体情况、手术适应证和医生的经验等,以确保最佳治疗效果。Ascending aortic aneurysm is a severe large vessel disease,often accompanied by the risk of rupture and aortic valve insufficiency.Surgical treatment is the main method for this condition,with open surgery considered the standard treatment due to its reliability and low risk.This article reviews several main surgical procedures,including the Bentall operation,Cabrol operation,David operation,and Wheat operation,each with its specific indications and steps.With the development of medical technology,minimally invasive surgery has gradually become another treatment option,offering patients the possibility of less trauma and faster recovery.However,minimally invasive surgery also has certain challenges,such as limited operating space and certain surgical risks.Thoracoscopic surgery,as an emerging technology,has broad prospects in the field of cardiac and great vessel surgery,but is still in the exploratory stage.Ultimately,the choice of surgical method should be based on the patient's specific situation,surgical indications,and the doctor's experience,to ensure the best therapeutic effect.

关 键 词：升主动脉瘤 外科手术 开放手术 微创手术 全腔镜手术 

分 类 号：R654.3[医药卫生—外科学]