文章摘要

胸腹主动脉瘤的外科治疗进展

作者: 1郭建明, 1郭连瑞, 1崔世军, 1佟铸, 1李杨, 1马天宇, 1谷涌泉
1 首都医科大学宣武医院 血管外科，北京 100053
通讯: 谷涌泉 Email: 15901598209@163.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2017.06.017
基金: 北京市医药管理局临床技术创新基金资助项目, XMLX201610 北京市医药管理局“登峰”人才计划基金资助项目, DFL20150801 北京市优秀人才基金资助项目, 2016000020124G108 北京市科学技术委员会临床特色应用研究基金资助项目, Z141107002514063 北京市卫生系统高层次卫生技术人才培养计划基金资助项目, 2014-3-059

摘要

胸腹主动脉瘤（TAAA）是一种累及降主动脉及腹主动脉的动脉瘤样变，自然病程病死率高，手术治疗难度大。传统的治疗方式为开放手术，随着腔内技术的发展，杂交手术和以开窗支架和分支支架为代表的腔内手术技术在TAAA治疗方面展现出了价值，新近出现的八爪鱼技术进一步完善了腔内治疗的术式选择，TAAA的微创治疗正逐步成为可能。
关键词： 主动脉瘤，腹 主动脉瘤，胸 血管内操作 最小侵入性外科手术

Surgical treatment of thoracoabdominal aortic aneurysm

Authors: 1GUO Jianming, 1GUO Lianrui, 1CUI Shijun, 1TONG Zhu, 1LI Yang, 1MA Tianyu, 1GU Yongquan
1 Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

CorrespondingAuthor:GU Yongquan Email: 15901598209@163.com

Abstract

Thoracoabdominal aortic aneurysm (TAAA) refers to an abnormal widening of the aorta involving both its descending and abdominal segments. It is a highly lethal condition as far as its natural history is concerned and the surgical intervention is difficult to perform. Open surgery is the traditional method for TAAA repair, but with the development of endoscopic technology, hybrid surgery and endovascular therapy represented by fenestrated or branched stent grafts are already showing great promise in treatment of TAAA, and the newly developed octopus technique further enriched the choice of its endovascular therapy. Minimally invasive treatment of TAAA is now gradually becoming possible.
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