在患有急性大动脉解剖的患者中,孤立的阴道动脉瘤的患病率
Xinyang Li1, Chong Liu2, Chuanjiang Wang3
1Department of General and Vascular Surgery, Shengjing Hospital, China Medical University, Shenyang, Liaoning, China; Department of Vascular Surgery, the First Affiliated Hospital, China Medical University, Shenyang, Liaoning, China.
Annals of vascular surgery
|August 16, 2025
概括
在急性大动脉解剖 (AAD) 患者中,隔离性阴道动脉瘤 (IIA) 的患病率为1.2%. 高龄和吸烟是AAD患者IIA的独立风险因素,有助于有针对性的查.
科学领域:
- 血管外科 血管外科
- 心血管研究研究心血管研究
- 放射学 放射学是一门学科.
背景情况:
- 隔离性阴道动脉瘤 (IIA) 和急性大动脉解剖 (AAD) 之间的关联需要进一步调查.
- 了解这种关系对于识别高风险患者至关重要.
研究的目的:
- 为了确定IAA在被诊断为AAD的患者中的患病率.
- 确定与该患者队列中IIA存在相关的独立风险因素.
主要方法:
- 计算机断层扫描扫描 (CTA) 扫描的回顾性分析来自7名患有AAD和IIA的患者 (AAD + IIA组) 和597名患有AAD但没有IIA的患者 (AAD组).
- 倾向性得分匹配用于基线特征比较.
- 后勤回归分析确定了IIA的独立风险因素.
主要成果:
- 在AAD人群中,IIA的患病率为1.2%.
- 年龄较大 (OR,1.144;P = 0.001) 和吸烟 (OR,14.601;P = 0.016) 被确定为AAD患者IIA的独立风险因素.
- 在AAD + IIA组的患者比AAD组的患者年龄大得多 (67.57岁对52.09岁).
结论:
- 年龄和吸烟是增加AAD患者IIA患病率的重要危险因素.
- 这些发现可以帮助选择患者进行有针对性的查,从而有可能改善治疗结果.
- 建议进行进一步的前性研究,以证实IAA在AAD人群中的患病率.
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