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山东大学学报 (医学版) ›› 2024, Vol. 62 ›› Issue (9): 7-12.doi: 10.6040/j.issn.1671-7554.0.2024.0448

• 主动脉疾病基础与临床研究进展专刊—研究进展 • 上一篇    

Stanford B型主动脉夹层的诊疗进展

林长泼1,2,3,符伟国1,2,3   

  1. 1.复旦大学附属中山医院血管外科, 上海 200032;2.复旦大学血管外科研究所, 上海 200032;3.国家放射与治疗临床医学研究中心, 上海 200032
  • 发布日期:2024-10-10
  • 通讯作者: 符伟国. E-mail:fu.weiguo@zs-hospital.sh.cn
  • 基金资助:
    国家自然科学基金(82100505)

Progress in diagnosis and treatment of Stanford type B aortic dissection

LIN Changpo1,2,3, FU Weiguo1,2,3   

  1. 1. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China;
    2. Institute of Vascular Surgery, Fudan University, Shanghai 200032, China;
    3. National Clinical Research Centre for Radiation and Therapy, Shanghai 200032, China
  • Published:2024-10-10

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摘要： 近年来随着对疾病理解的加深,Stanford B型主动脉夹层的诊疗取得了长足的进步。一方面,对夹层的分类更加精细化,从而能够更好地指导临床诊疗;另一方面,新型影像学检查和生物标志物的发现,有助于进一步提升夹层诊断的准确率。治疗方面,伴随着腔内技术的快速发展,Stanford B型主动脉夹层的治疗趋于微创化,且治疗效果也拾级而上。而累及弓上或内脏区夹层病变的微创治疗是当下的诊疗热点,涌现出了许多新方法和新器具,有望进一步改善临床诊疗的效果。

关键词: Stanford B型主动脉夹层, 胸主动脉腔内修复术, 夹层分类, 非A非B型夹层

Abstract: The diagnosis and treatment of Stanford type B aortic dissection(TBAD)has been greatly improved in recent years due to a better understanding of the disease. On one hand, the classification of TBAD has been more refined, thus enabling better guidance for AD diagnosis and treatment. On the other hand, the using of new imaging tests and biomarkers has helped to further improve the accuracy of AD diagnosis. In terms of treatment, along with the rapid development of endovascular technology, the treatment of TBAD tends to be minimally invasive, and the result is also significantly improved. Endovascular therapy of TBAD involving aortic arch or visceral areas is a hot topic nowadays, and many new methods and devices have emerged in this areas, which are expected to further improve the clinical outcome.

Key words: Stanford type B aortic dissection, Thoracic endovacular aortic repair, Dissection classification, Non-A non-B aortic dissection

中图分类号: 

  • R654.3
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