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本文引用的文献

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Screening for abdominal aortic aneurysm by general practitioners and practice-based ultrasonographers.
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2
Postoperative incision hernia in patients with abdominal aortic aneurysm and aortoiliac occlusive disease: a systematic review.腹主动脉瘤和主-髂动脉闭塞性疾病患者术后切口疝:一项系统评价
Eur J Vasc Endovasc Surg. 2007 Feb;33(2):177-81. doi: 10.1016/j.ejvs.2006.07.009. Epub 2006 Aug 23.
3
Natural history of the ectatic aorta.扩张性主动脉的自然病程。
Cardiovasc Surg. 2003 Aug;11(4):273-6. doi: 10.1016/S0967-2109(02)00170-9.
4
Incision and abdominal wall hernias in patients with aneurysm or occlusive aortic disease.患有动脉瘤或主动脉闭塞性疾病患者的切口疝和腹壁疝。
J Vasc Surg. 2003 Jun;37(6):1150-4. doi: 10.1016/s0741-5214(03)00147-2.
5
The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial.多中心动脉瘤筛查研究(MASS):关于腹主动脉瘤筛查对男性死亡率影响的随机对照试验。
Lancet. 2002 Nov 16;360(9345):1531-9. doi: 10.1016/s0140-6736(02)11522-4.
6
Fate of the ectatic infrarenal aorta: expansion rates and outcomes.扩张性肾下腹主动脉的转归:扩张率及预后
Ann Vasc Surg. 2002 Sep;16(5):534-6. doi: 10.1007/s10016-001-0283-5. Epub 2002 Aug 19.
7
Incidence of abdominal wall hernias in patients undergoing aortic surgery for aneurysm or occlusive disease.因动脉瘤或闭塞性疾病接受主动脉手术患者的腹壁疝发病率。
Vasa. 2002 May;31(2):111-4. doi: 10.1024/0301-1526.31.2.111.
8
Magnetic resonance imaging and abdominal wall hernias in aortic surgery.主动脉手术中的磁共振成像与腹壁疝
J Am Coll Surg. 2001 Oct;193(4):392-5. doi: 10.1016/s1072-7515(01)01003-1.
9
The long-term benefits of a single scan for abdominal aortic aneurysm (AAA) at age 65.65岁时进行一次腹主动脉瘤(AAA)扫描的长期益处。
Eur J Vasc Endovasc Surg. 2001 Jun;21(6):535-40. doi: 10.1053/ejvs.2001.1368.
10
Screening of abdominal aortic aneurysm: a pragmatic approach.腹主动脉瘤筛查:一种实用方法。
Ann R Coll Surg Engl. 2000 Jan;82(1):59-63.

65岁以上患有腹股沟疝的男性腹主动脉瘤患病率。

Prevalence of abdominal aortic aneurysms in over 65-year-old men with inguinal hernias.

作者信息

Anderson Oliver, Shiralkar Sandy

机构信息

Department of Vascular Surgery, Russell's Hall Hospital, Dudley, UK.

出版信息

Ann R Coll Surg Engl. 2008 Jul;90(5):386-8. doi: 10.1308/003588408X285937.

DOI:10.1308/003588408X285937
PMID:18634733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2645739/
Abstract

INTRODUCTION

The aim of this study was to determine the prevalence of abdominal aortic aneurysms (AAAs) in over 65-year-old men who have inguinal hernias and discuss if pre-operative selective screening of this population is appropriate.

PATIENTS AND METHODS

A prospective study on 70 consecutive male patients with an age range of 65-88 years (mean, 74 years) who were referred to a single vascular consultant's out-patient clinic with an inguinal hernia were screened for the presence of an AAA with an ultrasound scan before hernia repair over a period of 3 years.

RESULTS

Two patients were found to have an AAA measuring 3.8 cm and 6.0 cm giving an AAA prevalence of 3% (exact 95% confidence interval = 0-10%).

CONCLUSIONS

This study does not demonstrate an increased AAA prevalence in over 65-year-old male patients with inguinal hernias, scanned pre-operatively when compared to screening programmes. Selective screening of this cohort cannot be justified on this evidence.

摘要

引言

本研究的目的是确定患有腹股沟疝的65岁以上男性腹主动脉瘤(AAA)的患病率,并探讨对该人群进行术前选择性筛查是否合适。

患者与方法

一项前瞻性研究,对连续70例年龄在65至88岁(平均74岁)之间、因腹股沟疝被转诊至单一血管顾问门诊的男性患者,在3年时间内于疝修补术前通过超声扫描筛查AAA的存在情况。

结果

发现2例患者患有AAA,直径分别为3.8厘米和6.0厘米,AAA患病率为3%(精确95%置信区间 = 0 - 10%)。

结论

与筛查项目相比,本研究未显示出在术前扫描的65岁以上患有腹股沟疝的男性患者中AAA患病率增加。基于此证据,对该队列进行选择性筛查是不合理的。