{"id":17085,"date":"2019-05-11T05:51:00","date_gmt":"2019-05-10T21:51:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=17085"},"modified":"2019-06-02T06:39:19","modified_gmt":"2019-06-01T22:39:19","slug":"jama-surgery%e5%8f%91%e5%b8%83%ef%bc%9a%e8%a1%80%e7%ae%a1%e5%a4%96%e7%a7%91%e5%ad%a6%e4%bc%9a%e6%9c%89%e5%85%b3%e8%85%b9%e4%b8%bb%e5%8a%a8%e8%84%89%e7%98%a4%e6%82%a3%e8%80%85%e8%af%8a%e6%b2%bb","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=17085","title":{"rendered":"[JAMA Surgery\u53d1\u5e03]\uff1a\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a\u6709\u5173\u8179\u4e3b\u52a8\u8109\u7624\u60a3\u8005\u8bca\u6cbb\u7684\u5b9e\u8df5\u6307\u5357"},"content":{"rendered":"\n

JAMA Network Clinical Guideline Synopsis April 17, 2019<\/p>\n\n\n\n

The Society of Vascular Surgery Practice Guidelines on the Care of Patients With Abdominal Aortic Aneurysms<\/h1>\n\n\n\n

Michol A.\u00a0Cooper,\u00a0Gilbert R.\u00a0Upchurch\u00a0Jr<\/h2>\n\n\n\n

JAMA Surg.\u00a0<\/em>Published online April 17, 2019. doi:10.1001\/jamasurg.2019.0566<\/h2>\n\n\n\n

Guideline title:<\/strong>\u00a0The Society for Vascular Surgery Practice Guidelines on the Care of Patients with an Abdominal Aortic Aneurysm<\/p>\n\n\n\n

\u6307\u5357\u6807\u9898\uff1a\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a\u8179\u4e3b\u52a8\u8109\u7624\u60a3\u8005\u8bca\u6cbb\u5b9e\u8df5\u6307\u5357<\/p>\n\n\n\n

Developer:<\/strong>\u00a0Society for Vascular Surgery<\/p>\n\n\n\n

\u5236\u8ba2\u8005\uff1a\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a<\/p>\n\n\n\n

Release date:<\/strong>\u00a0January 2018<\/p>\n\n\n\n

\u53d1\u5e03\u65e5\u671f\uff1a2018\u5e741\u6708<\/p>\n\n\n\n

Prior versions:<\/strong>\u00a02003 and 2009<\/p>\n\n\n\n

\u65e2\u5f80\u7248\u672c\uff1a2003\u5e74\u53ca2009\u5e74<\/p>\n\n\n\n

Funding source:<\/strong>\u00a0Society for Vascular Surgery<\/p>\n\n\n\n

\u8d44\u91d1\u6765\u6e90\uff1a\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a<\/p>\n\n\n\n

Target population:<\/strong>\u00a0Physicians involved in preoperative, operative, and postoperative care of patients with abdominal aortic aneurysms (AAAs).<\/p>\n\n\n\n

\u76ee\u6807\u4eba\u7fa4\uff1a\u53c2\u4e0e\u8179\u4e3b\u52a8\u8109\u7624(AAA)\u60a3\u8005\u672f\u524d\u3001\u672f\u4e2d\u53ca\u672f\u540e\u8bca\u6cbb\u7684\u533b\u751f<\/p>\n\n\n\n

Major recommendations (with level of recommendation\/quality of evidence rating):<\/strong><\/h2>\n\n\n\n

\u4e3b\u8981\u63a8\u8350\u610f\u89c1\uff08\u63a8\u8350\u7ea7\u522b\/\u8bc1\u636e\u8d28\u91cf\u8bc4\u4ef7\uff09<\/h2>\n\n\n\n

Surveillance \u76d1\u6d4b<\/h2>\n\n\n\n

Ultrasonographic examination as the preferred surveillance method (1\/A)<\/p>\n\n\n\n

\u8d85\u58f0\u68c0\u67e5\u4f5c\u4e3a\u9996\u9009\u7b5b\u67e5\u624b\u6bb5(1\/A)<\/p>\n\n\n\n

One-time screening for patients aged 65 to 75 years with a history of tobacco use (1\/A)<\/p>\n\n\n\n

\u5bf9\u4e8e65-75\u5c81\u6709\u5438\u70df\u53f2\u7684\u60a3\u8005\u8fdb\u884c\u7b5b\u67e5(1\/A)<\/p>\n\n\n\n

Imaging every 3 years for AAAs of 3.0 to 3.9 cm (2\/C)<\/p>\n\n\n\n

\u9488\u5bf93.0-3.9 cm\u7684AAA\u6bcf3\u5e74\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5(2\/C)<\/p>\n\n\n\n

Annual imaging for AAAs of 4.0 to 4.9 cm (2\/C)<\/p>\n\n\n\n

\u9488\u5bf94.0-4.9 cm\u7684AAA\u6bcf\u5e74\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5(2\/C)<\/p>\n\n\n\n

Imaging twice per year for AAAs of 5.0 to 5.4 cm (2\/C)<\/p>\n\n\n\n

\u9488\u5bf95.0-5.4 cm\u7684AAA\u6bcf\u534a\u5e74\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5(2\/C)<\/p>\n\n\n\n

Decision to treat with elective repairs \u62e9\u671f\u4fee\u8865\u6cbb\u7597\u51b3\u7b56<\/h2>\n\n\n\n

Fusiform aneurysms of 5.5 cm or larger (1\/A)<\/p>\n\n\n\n

\u4e0d\u5c0f\u4e8e5.5 cm\u7684\u7eba\u9524\u5f62\u52a8\u8109\u7624(1\/A)<\/p>\n\n\n\n

All saccular aneurysms (2\/C)<\/p>\n\n\n\n

\u6240\u6709\u56ca\u5f62\u52a8\u8109\u7624(2\/C)<\/p>\n\n\n\n

Aneurysms of 5 cm or larger in women (2\/B)<\/p>\n\n\n\n

\u5973\u60275 cm\u6216\u66f4\u5927\u7684\u52a8\u8109\u7624(2\/B)<\/p>\n\n\n\n

Operative approach \u624b\u672f\u65b9\u5f0f<\/h2>\n\n\n\n

Preserve at least 1 hypogastric artery (1\/A)<\/p>\n\n\n\n

\u4fdd\u7559\u81f3\u5c11\u4e00\u652f\u8179\u4e0b\u52a8\u8109(1\/A)<\/p>\n\n\n\n

Endovascular aneurysm repair recommended for ruptured AAA (1\/C)<\/p>\n\n\n\n

\u63a8\u8350\u8fdb\u884c\u8840\u7ba1\u5185\u52a8\u8109\u7624\u4fee\u8865AAA\u7834\u88c2(1\/C)<\/p>\n\n\n\n

Endoleak treatment \u5185\u7618\u5904\u7406<\/h2>\n\n\n\n

All type I endoleaks (1\/B)<\/p>\n\n\n\n

\u6240\u6709I\u578b\u5185\u7618(1\/B)<\/p>\n\n\n\n

Type II endoleaks with aneurysm expansion (2\/C)<\/p>\n\n\n\n

II\u578b\u5185\u7618\u4f34\u52a8\u8109\u7624\u589e\u5927(2\/C)<\/p>\n\n\n\n

All type III endoleaks (1\/B)<\/p>\n\n\n\n

\u6240\u6709III\u578b\u5185\u7618(1\/B)<\/p>\n\n\n\n

Postoperative surveillance \u672f\u540e\u76d1\u6d4b<\/h2>\n\n\n\n

Post\u2013endovascular aneurysm repair<\/p>\n\n\n\n

\u8840\u7ba1\u5185\u52a8\u8109\u7624\u4fee\u8865\u672f\u540e<\/p>\n\n\n\n

Computed tomographic angiography and color duplex ultrasonography within 1 month (1\/B)<\/p>\n\n\n\n

\u4e00\u4e2a\u6708\u5185\u590d\u67e5CT\u8840\u7ba1\u9020\u5f71\u53ca\u5f69\u8272\u591a\u666e\u52d2\u8d85\u58f0\u68c0\u67e5(1\/B)<\/p>\n\n\n\n

Without endoleak or sac enlargement, annual imaging (1\/B)<\/p>\n\n\n\n

\u4e0d\u4f34\u5185\u7618\u6216\u56ca\u589e\u5927\u65f6\uff0c\u6bcf\u5e74\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5(1\/B)<\/p>\n\n\n\n

Noncontrast computed tomography of entire aorta every 5 years after open surgical repair or endovascular aneurysm repair (2\/C)<\/p>\n\n\n\n

\u5f00\u653e\u624b\u672f\u4fee\u8865\u6216\u8840\u7ba1\u5185\u52a8\u8109\u7624\u4fee\u8865\u672f\u540e\uff0c\u6bcf5\u5e74\u8fdb\u884c\u5168\u4e3b\u52a8\u8109\u7684\u5e73\u626bCT\u68c0\u67e5(2\/C)<\/p>\n","protected":false},"excerpt":{"rendered":"

JAMA Network Clinical Guideline Synopsis April&nbs […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[25,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17085"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17085"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17085\/revisions"}],"predecessor-version":[{"id":17086,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17085\/revisions\/17086"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17085"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17085"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}