主动脉夹层血管腔内治疗现状

尽管主动脉夹层（AD）在临床上不常见，但其发病凶险，许多患者死于院外或未明确诊断，约有1／3的患者表现为受累系统器官的症状。有些患者无发病体征，即使有体征，也是复杂多样的。临床上应高度警惕，以便对AD作出快速、准确的诊断。AD的治疗主要包括积极控制血压、外科手术。近年来，血管腔内治疗用于治疗AD已取得了大量理论和实践上的临床经验，其微创优势已被证实。但国外主动脉夹层发病率低，血管腔内治疗的近远期疗效仍需进一步研究评价。未来的发展主要体现在器材创新方面，使解剖复杂尤其是需要杂交技术完成的夹层得到更加合理的治疗。

The Status Quo of Clinical Study on Endovascular Graft Exclusion of Aortic Dissection

Althougha ortic dissection was uncommon,its outcome was frequently fatal,and many patients with aortic dissection died before their visiting or prior to clear diagnosis.More than one-third of patients may have the symptom of involved organ and system.Some patients usually had no obvious sign,even if they had,the signs were always various.Keeping a high clinical index of suspicion was necessary to accurate and rapid diagnosis of aortic dissection.The therapy of aortic dissection mainly included controlling b...