腹主动脉瘤患者与主髂动脉闭塞性疾病患者的腹壁疝

Abdominal wall hernias in patients with abdominal aortic aneurysmal versus aortoiliac occlusive disease.

作者信息

Hall K A, Peters B, Smyth S H, Warneke J A, Rappaport W D, Putnam C W, Hunter G C

机构信息

Department of Surgery, University of Arizona Health Sciences Center, Tucson 85725, USA.

出版信息

Am J Surg. 1995 Dec;170(6):572-5; discussion 575-6. doi: 10.1016/s0002-9610(99)80018-x.

DOI:10.1016/s0002-9610(99)80018-x

PMID:7492003

Abstract

BACKGROUND

This study was undertaken to determine the incidence of ventral incisional hernias (VIHs) and inguinal hernias (IHs) in patients with abdominal aortic aneurysmal (AAA) versus those with aortoiliac occlusive disease (AIOD).

PATIENTS AND METHODS

The medical records of 193 patients (128 with AAA and 65 with AIOD) who had undergone elective aortic reconstruction were reviewed to determine the number and location of abdominal wall hernias (AWHs).

RESULTS

Forty-one AWHs (28 IHs and 13 VIHs) were detected in patients with AAA compared to 13 (11 IHs and 2 VIHs) in patients with AIOD. There was a significantly greater incidence of VIHs in patients with AAA versus patients with AIOD (10% versus 3%, P < 0.05) and recurrent AWHs (28% versus 19%, P < 0.01), but not of IHs (22% versus 17%).

CONCLUSION

Patients with AAA have a higher incidence of VIHs and recurrent AWHs--without a corresponding increase in patient-related risk factors--than patients without aneurysm, suggesting that as yet unidentified etiologic factors may contribute to the development of AWHs in these patients.

摘要

背景

本研究旨在确定腹主动脉瘤（AAA）患者与主髂动脉闭塞性疾病（AIOD）患者中腹侧切口疝（VIH）和腹股沟疝（IH）的发生率。

患者与方法

回顾了193例行择期主动脉重建术患者（128例AAA患者和65例AIOD患者）的病历，以确定腹壁疝（AWH）的数量和位置。

结果

AAA患者中检测到41例AWH（28例IH和13例VIH），而AIOD患者中检测到13例（11例IH和2例VIH）。与AIOD患者相比，AAA患者中VIH的发生率显著更高（10%对3%，P<0.05），复发性AWH的发生率也更高（28%对19%，P<0.01），但IH的发生率无差异（22%对17%）。