【摘要】 Stanford B型主动脉夹层(TBAD)是一种临床常见且危重的主动脉病变。胸主动脉腔内修复术(TEVAR)具有创伤小、恢复快的优点，已成为该疾病的主要手术治疗手段。TEVAR术后残余假腔的处理与预后成为当前临床痛点。本文系统梳理了国内外文献，结合相关学会指南，发现TEVAR术后假腔持续灌注仍是当前面临的主要挑战，而新兴腔内技术在假腔栓塞、促进主动脉重塑方面表现出良好的前景。更多还原

【Abstract】 Stanford Type B aortic dissection( TBAD) represents a prevalent and life-threatening aortic pathology. Thoracic endovascular aortic repair( TEVAR) has supplanted open surgery as the principal therapeutic modality,offering minimally invasive access and accelerated recovery. Nevertheless,the persistence of perfused false lumen following TEVAR constitutes a critical unresolved challenge,predisposing patients to aneurysmal degeneration and late adverse events. This article systematically reviews core literature from both domestic and international sources,and combines it with guidelines from vascular-related societies both domestically and internationally. It is found that continuous perfusion of the false lumen after TEVAR remains a major challenge at present,while emerging endovascular techniques show promising prospects in terms of embolizing the false lumen and promoting aortic remodeling.更多还原