Southeastern Louisiana University, Baton Rouge, LA 70809, USA.
Am J Mens Health. 2013 Mar;7(2):163-8. doi: 10.1177/1557988312464195. Epub 2012 Oct 22.
Men are more likely than women to develop an abdominal aortic aneurysm (AAA), a disease that is often asymptomatic and has up to a 90% risk of mortality if the aneurysm ruptures. What many men do not know is that an AAA can easily be identified through an ultrasound screening, and if the aneurysm is >5.5 cm, it can be surgically repaired to prevent a life-threatening rupture. Although current AAA screening recommendations focus on men between the ages of 65 and 75 years, who have ever smoked, recent evidence suggest many men of ages 50 to 80 years, regardless of smoking status, may also be at risk for developing an AAA. This article presents a comprehensive overview of AAA disease and summarizes current evidence-based diagnostic and treatment guidelines, the importance of educating men about this health issue, and the need for more widespread AAA ultrasound screening opportunities.
男性比女性更容易患腹主动脉瘤（AAA），这种疾病通常没有症状，如果动脉瘤破裂，死亡率高达 90%。许多男性不知道的是，通过超声筛查很容易发现 AAA，如果动脉瘤>5.5 厘米，可以通过手术修复来防止危及生命的破裂。尽管目前的 AAA 筛查建议主要针对曾经吸烟的 65 至 75 岁男性，但最近的证据表明，许多 50 至 80 岁的男性，无论吸烟状况如何，也可能面临患 AAA 的风险。本文全面介绍了 AAA 疾病，并总结了目前基于循证的诊断和治疗指南，强调了向男性普及该健康问题的重要性，以及需要更多的 AAA 超声筛查机会。
