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腹主动脉瘤:高危人群中的发病率

Abdominal aortic aneurysm: incidence in a population at risk.

作者信息

Thurmond A S, Semler H J

出版信息

J Cardiovasc Surg (Torino). 1986 Jul-Aug;27(4):457-60.

PMID:3522599
Abstract

One hundred twenty patients aged fifty years and over underwent screening by ultrasound for abdominal aortic aneurysms as part of their routine follow-up visit to a cardiologist. The overall incidence of aneurysm greater than or equal to 4 centimeters in diameter was 5%. In the 84 men with aortas less than 4 centimeters, the average aorta size was 2.4 centimeters. In the 30 women with aortas less than 4 centimeters, the average aorta size was significantly smaller, 1.9 centimeters (p less than .001). It was discovered that men who smoke and have hypertension have a statistically significant increase in aorta size compared to those men without these risk factors (less than .05). The results indicate that the incidence of abdominal aortic aneurysm is probably high enough in this population to justify screening by ultrasound.

摘要

120名年龄在50岁及以上的患者在心脏病专家的常规随访中接受了腹部主动脉瘤的超声筛查。直径大于或等于4厘米的动脉瘤总体发病率为5%。在84名主动脉直径小于4厘米的男性中,平均主动脉大小为2.4厘米。在30名主动脉直径小于4厘米的女性中,平均主动脉大小明显更小,为1.9厘米(p小于0.001)。研究发现,与没有这些危险因素的男性相比,吸烟且患有高血压的男性主动脉大小在统计学上有显著增加(小于0.05)。结果表明,该人群中腹主动脉瘤的发病率可能高到足以证明通过超声进行筛查是合理的。

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1
Abdominal aortic aneurysm: incidence in a population at risk.腹主动脉瘤:高危人群中的发病率
J Cardiovasc Surg (Torino). 1986 Jul-Aug;27(4):457-60.
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Ultrasonographic screening for abdominal aortic aneurysm: analysis of surgical decisions for cost-effectiveness.
World J Surg. 1989 May-Jun;13(3):266-71. doi: 10.1007/BF01659032.
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Periodic health examination, 1991 update: 5. Screening for abdominal aortic aneurysm. Canadian Task Force on the Periodic Health Examination.定期健康检查,1991年更新:5. 腹主动脉瘤筛查。加拿大定期健康检查特别工作组。
CMAJ. 1991 Oct 1;145(7):783-9.
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BMJ. 1992 Oct 24;305(6860):1013. doi: 10.1136/bmj.305.6860.1013-a.
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West J Med. 1992 Nov;157(5):527-9.