CAJ | 학술논문

孤立性肠系膜上动脉夹层(ISMAD)是临床上常见疾病.多层螺旋CT检查可作为ISMAD筛查及随访的有效手段.应采用以真假腔病理学改变为基础的分型制订诊断与治疗方案.绝大多数患者经内科治疗可有效控制病情,内科治疗失败的患者可以行腔内治疗,对于存在动脉瘤破裂或肠坏死的患者,应急诊外科手术治疗.
고립성장계막상동맥협층(ISMAD)시림상상상견질병.다층라선CT검사가작위ISMAD사사급수방적유효수단.응채용이진가강병이학개변위기출적분형제정진단여치료방안.절대다수환자경내과치료가유효공제병정,내과치료실패적환자가이행강내치료,대우존재동맥류파렬혹장배사적환자,응급진외과수술치료.
Isolated superior mesenteric artery dissection (ISMAD) is a clinically common disease,of which multi-slice spiral computed tomography (MSCT) is effective method for screening and follow-up.The diagnosis and treatment should be made based on pathological changes of true or and false lumen.Most patients can relieve by medical treatment,and those with treatment failure can adapt endovascular treatment.Patients with aneurysm rupture or intestinal necrosis should undergo emergent surgical treatment.