中国实用外科杂志

中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (12): 976-978.

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重视腹主动脉瘤规范化治疗

吴庆华   

  1. 首都医科大学附属北京安贞医院血管外科，北京100029
  • 出版日期:2012-12-01 发布日期:2012-11-29

  • Online:2012-12-01 Published:2012-11-29

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摘要：

腹主动脉瘤（abdominal aortic aneurysm，AAA）破裂后病死率极高，早期发现和规范化治疗极为关键。相对于传统的开放手术（OR），AAA的腔内修复术（EVAR）具有微创性，近年由于器材的不断改进，在一些国家和医学中心已迅速开展并推广。目前，存在EVAR适应证把握不一致、忽视AAA的传统手术、治疗过程没有严格规范、随访还需亟待加强等问题。因此，为了AAA治疗的健康和快速发展，需要大力加强AAA规范化治疗。

关键词: 腹主动脉瘤, 腔内修复术

Abstract:

Emphasis on standardized treatment of abdominal aortic aneurysm        WU Qing-hua. Department of Vascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing100029 , China
Abstract    The mortality rate was high when the abdominal aortic aneurysm (AAA) ruptured, so early detection and standardized treatment are critical. Compared with traditional open surgery (OR), AAA endovascular aneurysm repair (EVAR) developed rapidly due to the continuous improvement of equipment in recent years. For minimally invasive of EVAR procedure, it has been developed rapidly in some countries and medical centers. But there are still some problems such as indications inconsistent in different centers, ignoring the traditional surgery of the AAA, not strictly regulate the course of treatment, follow-up needs to be strengthened and so on. For the healthy and rapid development of the AAA treatment, it requires a substantial strengthening of the standardized treatment of AAA.

Key words: abdominal aortic aneurysm, endovascular aortic repair