Can Fam Physician. 1987 Sep;33:2041-6.
The treatment of abdominal aortic aneurysm has undergone dramatic changes over the last three decades. More sophisticated diagnostic techniques have allowed early elective repair to be carried out. Improvement has resulted in both morbidity and mortality rates. Investigations such as ultrasound, computerized tomographic scanning and arteriography allow easy confirmation of the diagnosis of aortic aneurysms and permit a better assessment of the extent prior to surgical intervention. Improvement in the pre-operative management, particularly in relation to cardiac, renal, and pulmonary disease, has led to greatly improved results. The most important change in surgical technique has been repair of the aneurysm rather than resection. Combined with better post-operative intensive care units, this development has contributed to the improved morbidity and mortality rates. Although the complication rate of elective repair is low, the major cause of death remains myocardial infarction. As a result of all these improvements, indication for repair of abdominal aortic aneurysms has been extended to patients over the age of 80. Following surgical repair, most patients can be expected to return to normal lifestyles and lifespans.
在过去的三十年中，腹主动脉瘤的治疗发生了巨大的变化。更复杂的诊断技术使得早期选择性修复得以进行。这导致发病率和死亡率都有所降低。超声、计算机断层扫描和血管造影等检查可以轻松确认主动脉瘤的诊断，并在手术干预前更好地评估其范围。术前管理的改善，特别是在心脏、肾脏和肺部疾病方面，导致了结果的显著改善。手术技术最重要的变化是修复动脉瘤而不是切除。与更好的术后重症监护病房相结合，这一发展有助于降低发病率和死亡率。尽管选择性修复的并发症发生率较低，但主要的死亡原因仍然是心肌梗死。由于所有这些改进，腹主动脉瘤修复的适应证已扩展到 80 岁以上的患者。手术后，大多数患者可以恢复正常的生活方式和寿命。
