本文聚焦于创伤性B型主动脉夹层(traumatic type B aortic dissection,TTBAD)的临床研究进展,总结其发病机制、临床特点与诊断、严重程度划分、治疗方法与预后随访.TTBAD常见于创伤多发伤患者,早期准确诊断至关重要,损伤严重程度是决定TTBAD患者治疗策略与预后的关键,治疗上强调多学科协作,药物治疗和胸主动脉腔内修复术成为主要的治疗选择.但在不同严重程度TTBAD患者的治疗策略与手术时机选择上仍存在一定争议.
Advances in diagnosis and treatment of traumatic type B aortic dissection
This article focuses on the clinical research advancements in traumatic type B aortic dissection(TTBAD),and summarized its pathogenesis,clinical features and diagnosis,severity classification,treatment modalities,and fol-low-up prognosis.TTBAD is commonly observed in patients with multiple trauma injuries,and making early and accu-rate diagnosis is imperative.The severity of the injury is a critical determinant in deciding the treatment strategy and prognosis for TTBAD patients.Treatment emphasizes a multidisciplinary approach,with pharmacotherapy and thoracic endovascular aortic repair(TEVAR)being the primary options.However,there remains some controversy regarding treatment strategies and the timing of surgery in patients with varying severities of TTBAD.
Aortic dissectionTraumaThoracic endovascular aortic repairTiming of surgery
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