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腹主动脉瘤腔内治疗的研究进展
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Abstract:
腹主动脉瘤(AAA)是血管外科常见的一种动脉退行性疾病，具有发病率较低、破裂后病死率极高的特点，严重威胁了人类的生命健康安全。随着血管腔内技术的发展，腔内修复术(EVAR)逐渐取代开放手术成为AAA的一线治疗手段。近年来，腹主动脉瘤发病率不断增加，EVAR手术数量也逐年增加，随之各类新型手术技术和手术器械快速发展，诸多解剖条件复杂的AAA也可以采用腔内技术进行诊治，大大拓宽了AAA腔内治疗的适应证，使EVAR未来拥有更为广阔的应用前景。本文就腹主动脉瘤腔内治疗的研究进展进行综述。
Abdominal aortic aneurysm (AAA) is a common degenerative arterial disease in vascular surgery, characterized by low morbidity and extremely high morbidity and mortality after rupture, which seriously threatens the life and health safety of human beings. With the development of endovas-cular technology, endovascular abdominal aortic repair (EVAR) has gradually replaced open sur-gery as the first-line treatment for AAA. In recent years, the incidence of the abdominal aortic an-eurysm has been increasing, and the number of EVAR procedures has been growing yearly. With the rapid development of various new surgical techniques and equipment, many AAAs with com-plex anatomical conditions can also be treated by endovascular therapy, which greatly broadens the indications for endovascular treatment of AAA and gives EVAR a broader application prospect in the future. In this paper, we review the progress of endovascular treatment of abdominal aortic aneurysms.
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