胸腹主动脉瘤外科治疗现状及进展

胸腹主动脉瘤（TAAA）自然预后不良，常累及多条内脏动脉，给外科治疗带来挑战。目前外科治疗方式包括：开放手术、杂交手术和全腔内技术。开放手术是TAAA的标准治疗方法，远期疗效好，但技术复杂、创伤大、并发症高。近年发展的杂交手术和全腔内技术各显示其优势，但仍有不足。TAAA的外科治疗选择应遵循个体化原则，多学科协作可最大限度降低手术风险，并维持持久疗效。

Current status and progress of surgical treatment of thoracic-abdominal aortic aneurysm

The natural prognosis of thoracic-abdominal aortic aneurysm (TAAA) is poor. Multiple visceral arteries are often involved, which brings challenges to safe surgical treatment. The current surgical treatment of TAAA include: open repair, hybrid surgery and total endovascular repair. Open repair is the standard approach with satisfactory long-term efficacy, but it is also a surgically complex and highly invasive procedure with high incidence of complications. Hybrid procedure and endovascular repair developed in recent years have shown their advantages, but there are still shortcomings. The surgical treatment options for TAAA should follow the principle of individualization. Multidisciplinary collaboration can minimize the risk of surgery and maintain long-term durable outcomes for TAAA patients.