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B型主动脉夹层的围手术期管理进展

孙建锋 崔永攀 梅菲

巴楚医学2026,Vol.9Issue(2):124-128,5.
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巴楚医学2026,Vol.9Issue(2):124-128,5.DOI:10.3969/j.issn.2096-6113.2026.02.018

B型主动脉夹层的围手术期管理进展

Advances in Perioperative Management of Type B Aortic Dissection

孙建锋 1崔永攀 1梅菲1

作者信息

  • 1. 三峡大学第一临床医学院[宜昌市中心人民医院]血管外科,湖北宜昌 443003||缺血性心血管病湖北省重点实验室,湖北宜昌 443003||湖北省缺血性心血管疾病临床医学研究中心,湖北宜昌 443003
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摘要

Abstract

Type B aortic dissection(TBAD)remains one of the most challenging conditions in the realm of cardiovascular emergencies.Driven by innovations in imaging diagnostics and the widespread adoption of thoracic endovascular aortic repair(TEVAR),diagnostic rates and treatment success rates have significantly improved,while mortality has markedly declined.This article provides a systematic review of the clinical manifestations,diagnostic and management strategies for TBAD,with a focus on the pivotal role of TEVAR in promoting aortic remodeling.By integrating data from the international registry of acute aortic dissection and recent randomized controlled trial evidence,it critically examines the optimal timing of intervention,surgical strategies,and the prevention and management of associated complications.

关键词

B型主动脉夹层/胸主动脉腔内修复术/治疗策略/并发症

Key words

type B aortic dissection(TBAD)/thoracic endovascular aortic repair(TEVAR)/treatment strategies/complications

分类

医药卫生

引用本文复制引用

孙建锋,崔永攀,梅菲..B型主动脉夹层的围手术期管理进展[J].巴楚医学,2026,9(2):124-128,5.

基金项目

中央引导地方科技发展专项(2022BGE237) (2022BGE237)

湖北省卫生健康科技项目(WJ2025M048) (WJ2025M048)

巴楚医学

2096-6113

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