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.
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.
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。
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