中国实用外科杂志2017，Vol.37Issue(12)：1345-1349,5.DOI:10.19538/j.cjps.issn1005-2208.2017.12.08
腹主动脉瘤规范化治疗争议与共识
Normalized therapy for abdominal aortic aneurysm:Controversy and consensus
刘长建 1刘昭1
作者信息
- 1. 南京大学医学院附属鼓楼医院血管外科,江苏南京210008
- 折叠
摘要
Abstract
The epidemiology research in the past 30 years has shown that the prevalence of abdominal aortic aneurysm (AAA) has increased 7 times.The main risk factors for AAA are male sex,smoking history,age over 65,coronary artery disease,hypertension,previous myocardial infarction,peripheral artery disease and a family history of AAA.Imaging screening tests offered to susceptible people can help to decrease mortality from AAA.For asymptomatic patients of AAA with a diameter of less than 5cm,regular follow-up should be taken to determine the timing of the operation according to the size,growth rate and clinical symptoms of aneurysms.The two main treatments for AAA are open and endovascular repair,with no significant mortality difference between the two.However,EVAR has been preferred for minimally invasion and faster recovery.The clinical studies have shown that medical therapy had limited effect.The treatment of ruptured AAA is challenging due to its emergency and high perioperative mortality.The key factors for the survival of patients with ruptured AAA are to decrease the time from onset to operation,and to have a team with rich experience in both open surgical and endovascular practice.关键词
腹主动脉瘤/筛查/开放手术/主动脉腔内修复Key words
abdominal aortic aneurysm/screening/open operation/endovascular aortic repair分类
医药卫生引用本文复制引用
刘长建,刘昭..腹主动脉瘤规范化治疗争议与共识[J].中国实用外科杂志,2017,37(12):1345-1349,5.
