摘要近年来，对动脉粥样硬化累及蜿蜒的肠系膜动脉的治疗理念及手术方式研究的不断深入，这一侧支循环在血管外科领域的重要性受到更多的关注。随着影像学技术的提高，蜿蜒的肠系膜动脉的发现率逐渐增加。存在主髂动脉闭塞时，蜿蜒的肠系膜动脉可作为重要的侧支循环通道，缓解内脏或下肢的缺血。蜿蜒的肠系膜动脉也可能导致腔内修复术后Ⅱ型内漏，此时可经蜿蜒的肠系膜动脉进行肠系膜下动脉的栓塞。然而，蜿蜒的肠系膜动脉在血管外科领域的作用尚需进一步研究。

abstractsIn recent years, the therapeutic concepts and surgical methods of the meandering mesenteric artery involved in atherosclerosis have been reported in the literature, and the importance of this lateral branch circulation in the field of vascular surgery has received more attention. With the improvement of imaging techniques, the discovery rate of this collateral circulation increased. In the presence of major iliac artery occlusion, the meandering mesenteric artery may serve as an important collateral circulation to relieve ischemia in the visceral or lower extremities. The meandering mesenteric artery may also lead to type Ⅱ internal leakage after endovascular repair, while the embolization of inferior mesenteric artery may be performed through the meandering mesenteric artery. The role of meandering mesenteric arteries in vascular surgery needs further study.