剥脱综合征与腹主动脉瘤之间临床关联的评估。
Evaluation of the clinical association between exfoliation syndrome and abdominal aortic aneurysm.
作者信息
Hietanen Jaana, Soisalon-Soininen Sari, Kivelä Tero, Tarkkanen Ahti
机构信息
Department of Opthalmology, Helsinki University Central Hospital, Helseinki, Finland.
出版信息
Acta Ophthalmol Scand. 2002 Dec;80(6):617-9. doi: 10.1034/j.1600-0420.2002.800611.x.
PURPOSE
To assess the validity of the suggested association between intraocular exfoliation syndrome and aneurysm of the abdominal aorta.
METHODS
A total of 77 patients recently operated for abdominal aortic aneurysm underwent biomicroscopy under pupillary dilatation to detect the presence of manifest and suspect deposits of exfoliation material.
RESULTS
The mean age of the 71 (92%) male and six female subjects was 73 years (range: 59-88 years). Manifest exfoliation was detected in 11 patients (14%; 95% CI 7-24), five of whom were aged 60-69 years and six of whom were aged 70-79 years. In addition, four patients (5%; 95% CI 1-13) had suspect exfoliation.
CONCLUSIONS
The prevalence of exfoliation syndrome in patients operated for abdominal aortic aneurysm was similar to that in the general population of the same age in Finland. This finding does not support the proposed connection between exfoliation syndrome and abdominal aortic aneurysm.
目的
评估眼内剥脱综合征与腹主动脉瘤之间假定关联的有效性。
方法
共有77例近期接受腹主动脉瘤手术的患者在瞳孔散大状态下接受生物显微镜检查，以检测是否存在明显和可疑的剥脱物质沉积。
结果
71例（92%）男性和6例女性受试者的平均年龄为73岁（范围：59 - 88岁）。11例患者（14%；95%可信区间7 - 24）检测到明显剥脱，其中5例年龄在60 - 69岁，6例年龄在70 - 79岁。此外，4例患者（5%；95%可信区间1 - 13）有可疑剥脱。
结论
接受腹主动脉瘤手术患者的剥脱综合征患病率与芬兰同年龄普通人群相似。这一发现不支持剥脱综合征与腹主动脉瘤之间的假定联系。
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