美国血管外科学会2018年腹主动脉瘤诊治指南解读

根据循证医学的基本原则，美国血管外科学会（SVS）在系统性回顾的基础上，于2018年1月发布了腹主动脉瘤（AAA）治疗指南，针对AAA的诊断评估、治疗方式、麻醉及围术期处理、术后管理及随访、经济效益学分析5个方面做了重点阐述，并给出111条具体的推荐建议，并按GRADE法给出了推荐强度及证据级别。笔者对该指南中涉及的新观点或推荐意见、以及与临床诊疗过程中的密切相关点作一解读，以期读者更好的理解该指南。

Interpretation of the Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

In accordance to the principle of evidence-based medicine and based on the systematic review, the Society for Vascular Surgery (SVS) released the practice guidelines on the care of patients with an abdominal aortic aneurysm (AAA) in January 2018, which provides 111 specific recommendatory opinions with their levels of evidence and grades of recommendations based on GRADE criteria targeting toward five aspects that include diagnostic assessment, treatment modalities, anesthetic considerations, perioperative treatment, postoperative management, follow-up, and economics analysis. The authors interpret the new perspectives and recommendatory opinions as well as issues closely related to the clinical diagnosis and treatment in the revised guidelines, so as to help the readers in their understanding of the guidelines.