主动脉夹层的细化分型(国外英文资料).docVIP

主动脉夹层的细化分型(国外英文资料) ? The breakdown of the aorta The traditional classification method of aortic dissection is the most widely applied in Stanford type and Debakey type. Debakey thoracic aortic dissecting aneurysm can be divided into three type: type I, originated in the ascending aorta and thoracic aortic dissection aneurysms involving the abdominal aorta; Type II, the thoracic aortic aneurysm is confined to the ascending aorta; Type III, the thoracic aortic dissection aneurysm arises from the thoracic descending aorta, and the lower and lower abdominal aorta is called IIIA, and the abdominal aorta is called IIIB. At the university of Stanford, the Daily et al., divides the thoracic aortic aneurysm into two types: whatever the origin of the intercalation, as long as the ascending aorta is called type A; The intercalation arises from the lower thoracic aorta and the ascending aorta is known as type B. The StanfordA type is the equivalent of the DebakeyI type and type II, and the StanfordB is the equivalent of debakeytype iii. According to the location and degree of pathological changes, aortic dissection at Stanford to refine the classification on the basis of classification, according to the results of detailed classification guide selection operation time, determine the treatment plan and operation method. ????? Stanford A aorta There are three types of lesion in the aorta Type A1: the aorta sinus is normal, the sinus canal is normal or only one aortic valve is torn off, and there is no visible aortic valve closure. Type A2 type: mild aortic sinus department involved, the ministry of aortic sinus diameter 3.5 cm, dissection involving the right coronary artery leading to the opening lining part stripping or all tore off, there are one or two aortic border avulsion in mild to moderate aortic valve closure is not complete; A3: aortic sinus type heavy involvement, dou 5.0 cm in diameter, or 3.5 ~ 5.0 cm, but the sinus, structural damage due to intimal tear between t