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急性Stanford A型主动脉夹层的手术治疗研究进展

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急性Stanford A型主动脉夹层是一种危急的心血管疾病,其死亡率高、病理复杂,且外科手术治疗难度高,因此需要早期诊断与早期治疗.目前,外科开放手术仍是急性Stanford A型主动脉夹层治疗的"金标准",且手术技术、器官保护和影像技术的改进逐步改善了患者的预后,新的微创技术也不断出现,血管腔内手术、杂交技术逐渐进入临床实践.本文对急性Stanford A型主动脉夹层的外科开放手术、血管腔内手术及杂交技术的研究现状进行综述,探讨这些技术的应用情况、优势及当前面临的挑战,并展望未来的研究方向.
Research Progress of the Surgical Treatment of Acute Stanford Type A Aortic Dissection
The acute Stanford type A aortic dissection is a critical cardiovascular disease characterized by high mortality,complex pathology,and challenging surgical treatment.Therefore,early diagnosis and treatment are essential.Currently,surgical open surgery remains the gold standard for treating acute Stanford type A aortic dissection.Advances in surgical techniques,organ protection,and imaging technology have progressively improved patients outcomes,with new minimally invasive methods continually emerging,and endovascular surgery and hybrid techniques are gradually entering clinical practice.This article reviews the current status of surgical open surgery,endovascular surgery,and hybrid techniques for acute Stanford type A aortic dissection,discusses their applications,advantages and current challenges,and future research directions.

Aortic diseasesAortic dissectionTherapyReview

张若禹、曹一得、陈鑫

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210006 江苏省南京市,南京医科大学附属南京医院南京市第一医院心胸血管外科

主动脉疾病 主动脉夹层 治疗 综述

2025

实用心脑肺血管病杂志
河北省心脑肺血管病防治研究办公室

实用心脑肺血管病杂志

影响因子:1.864
ISSN:1008-5971
年,卷(期):2025.33(1)