Megalopoulos Angelos, Ioannidis Orestis, Varnalidis Ioannis, Ntoumpara Maria, Tsigriki Lina, Alexandris Konstantinos, Anastasiadou Christiana, Styliani Parpoudi, Paraskevas George, Mantzoros Ioannis
Department of Cardiothoracic and Vascular Surgery, General Regional Hospital "George Papanikolaou", Thessaloniki, Greece.
Fourth Surgical Department, Medical School, Aristotle, University of Thessaloniki, Thessaloniki, Greece.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019 Sep;163(3):247-252. doi: 10.5507/bp.2018.077. Epub 2019 Jan 30.
There is increased prevalence of inguinal hernia (ΙΗ) in patients with abdominal aortic aneurysm (AAA). As there is limited data on AAA in patients with ΙΗ our objective was to examine the prevalence of AAA in such patients.
We prospectively examined 185 consecutive patients for AAA who presented to our department for surgical repair of an ΙΗ. All patients were referred for ultrasound of the abdominal aorta. An AAA was considered to be present when the distal diameter of the abdominal aorta was over 3 cm. Patients with no AAA were followed annually with an abdominal ultrasound for 5 years.
Out of the 185 patients (179 males, 6 females) aged from 35-81 (mean 58.6 years), AAA initially appeared in 28 patients with a mean age 61.2 years old. The range of the aortic distal diameter was between 3.4 and 8.1 cm with a mean diameter of 4.8 cm in patients with AAA. The prevalence of the ΑΑΑ was increased in smokers, with hypertension and with bilateral and direct hernia. At the end of the 5 years follow-up, 16 more patients had developed an AAA of mean diameter 3.2 cm (3-4.1 cm), increasing the prevalence of AAA to 27.7%.
There is an increased prevalence of AAA in patients with ΙΗ, especially in smokers, with hypertension and with bilateral and/or direct hernia. Hence, periodic ultrasonound may play an important role in screening and early diagnosis of AAA in these patients.
腹主动脉瘤（AAA）患者腹股沟疝（ΙΗ）的患病率增加。由于关于ΙΗ患者中AAA的数据有限，我们的目的是研究此类患者中AAA的患病率。
我们前瞻性地检查了连续185例因ΙΗ前来我科接受手术修复的患者是否患有AAA。所有患者均接受腹主动脉超声检查。当腹主动脉远端直径超过3 cm时，认为存在AAA。无AAA的患者每年进行一次腹部超声检查，持续5年。
185例患者（179例男性，6例女性）年龄在35 - 81岁（平均58.6岁），最初有28例患者出现AAA，平均年龄61.2岁。AAA患者的主动脉远端直径范围在3.4至8.1 cm之间，平均直径为4.8 cm。吸烟者、患有高血压者以及双侧和直疝患者的AAA患病率增加。在5年随访结束时，又有16例患者出现了平均直径为3.2 cm（3 - 4.1 cm）的AAA，使AAA患病率增至27.7%。
ΙΗ患者中AAA的患病率增加，尤其是吸烟者、患有高血压者以及双侧和/或直疝患者。因此，定期超声检查可能在这些患者AAA的筛查和早期诊断中发挥重要作用。
