中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (11): 889-891.

• 专题笔谈 • 上一篇    下一篇

开放手术治疗腹主动脉瘤的临床价值

陈 忠，杨耀国   

  1. 首都医科大学附属北京安贞医院血管外科，北京100029
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-11-09 发布日期:2009-11-09

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-11-09 Published:2009-11-09

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摘要：

腹主动脉瘤（AAA）是最常见的主动脉瘤,因为病变进展会导致动脉瘤破裂，其病死率高，因此主张积极进行干预治疗。目前的治疗方法主要有传统的开放手术、近些年迅速发展的腔内修复术。经过近年国内外的相关临床实验及荟萃分析发现这两种治疗方法各有优缺点，尽管腔内治疗的技术在提高，治疗范围在扩大，并发症在减少，但是国内外的研究结果及作者经验均显示开放手术仍具有不可替代的地位。

关键词: 腹主动脉瘤, 血管外科手术, 腔内治疗

Abstract:

Role of open surgical repair in abdominal aortic aneurysm CHEN Zhong, YANG Yao-guo. Department of Vascular Surgery , Beijing Anzhen Hospital ,Capital Medical University, Beijing100029, China Corresponding author ： CHEN Zhong ，E-mail ：chenzhong 8658@vip.sina.com Abstract Abdominal aortic aneurysm (AAA) is the most common type of aneurysms. AAA has a tendency to grow and burst causing life threatening bleeding. Treatment of AAA has been ongoing for many years through open surgical repair (OR) of the dilated artery. Within the last several decads years a new approach to treating aortic aneurysms has been developed. It is the endovascular aneurysm repair (EVAR) approach that is devealoped rapidly in the area. Through clinical trials and meta-analysis of domestic and overseas，both of methods have their advantages and disadvantages. Although the technique improved, range of treatment enlarged and less complications of EVAR, OR has non-fungible position for experiences and clinic results of home and abroad.

Key words: abdominal aortic aneurysm, vascular surgery, endovascular aneurysm repair