对腹腔大动脉动脉瘤的机会性超声波查
Yasuharu Funamizu1, Hitoshi Goto2, Ayaka Oda3
1Clinical Physiology Center, Tohoku University Hospital, Sendai, Miyagi, Japan.
Annals of vascular diseases
|June 26, 2024
概括
在其他超声波期间对腹腔大动脉动脉瘤 (AAA) 的机会性查是有效的. 这种方法有助于早期检测AAA,改善患者破裂前的治疗结果.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 公共卫生 公共卫生
背景情况:
- 早期检测腹腔大动脉瘤 (AAA) 对于及时干预和改善患者结果至关重要.
- 许多地区缺乏AAA的公开选系统.
- 在例行超声检查期间的机会性查为早期AAA检测提供了潜在的替代方案.
研究的目的:
- 评估机会性查腹腔大动脉瘤 (AAA) 的有效性.
- 评估将AAA查纳入其他超声检查中的可行性.
- 在查的人群中确定与AAA相关的风险因素.
主要方法:
- 一项前性多中心观察性研究,涉及10,325名因非AAA相关原因接受超声波的患者.
- 在初级超声波后,添加了腹腔大动脉评估,在可视化时记录直径和形状.
- 收集并发症数据以确定AAA风险因素.
主要成果:
- 在92.9%的接受心声扫描的患者中,腹腔大动脉得到了充分的可视化.
- 腹腔大动脉动脉瘤 (AAA) 在122名患者 (1.3%) 中被诊断为9,791名患者.
- 对AAA的危险因素包括年龄,男性性别,冠状动脉疾病,外周动脉疾病和吸烟.
结论:
- 对腹腔大动脉动脉瘤 (AAA) 的机会性查是早期检测的有效方法.
- 将AAA查整合到常规超声波中可以显著提高诊断率.
- 通过机会性查识别高风险个体有助于及时管理和预防破裂.
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