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心肌血运重建术后患者无症状性主动脉瘤的常规筛查:一项前瞻性研究。

Routine screening for unsuspected aortic aneurysms in patients after myocardial revascularization: a prospective study.

作者信息

Nevelsteen A, Kim Y, Meersman A, Suy R

机构信息

Department of Vascular Surgery, University Clinic, Gasthuisberg, Leuven, Belgium.

出版信息

Acta Cardiol. 1991;46(2):201-6.

PMID:2048367
Abstract

Ultrasonography of the abdominal aorta was routinely performed in a consecutive series of 100 patients during postoperative reconvalescence after myocardial revascularization. The mean aortic diameter was greater in the male series (n = 80) then in the female population (n = 20) (2.17 +/- 0.85 cm vs 1.6 +/- 0.3 cm). Abnormalities were only seen in male patients over 50 years of age (n = 65). The overall incidence of aneurysm greater than or equal to 4 cm was 6%. The incidence of aortas at least 3 cm was 7/65 (11%). It is suggested that the incidence of unsuspected aortic aneurysm in this subgroup is high enough to justify continued screening programmes by ultrasound.

摘要

在100例心肌血运重建术后康复期的连续患者系列中,常规对腹主动脉进行超声检查。男性组(n = 80)的平均主动脉直径大于女性组(n = 20)(2.17±0.85厘米对1.6±0.3厘米)。仅在50岁以上的男性患者(n = 65)中发现异常。直径大于或等于4厘米的动脉瘤总体发生率为6%。直径至少3厘米的主动脉发生率为7/65(11%)。有人认为,该亚组中未被怀疑的主动脉瘤发生率足够高,足以证明通过超声继续进行筛查计划是合理的。

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Acta Cardiol. 1991;46(2):201-6.
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The case against a national screening programme for aortic aneurysms.反对全国性主动脉瘤筛查计划的理由。
Ann R Coll Surg Engl. 1997 Mar;79(2):90-5.