在有吸烟史的高风险女性中针对腹腔大动脉动脉瘤进行向查
Patrik Söderberg1, Anders Wanhainen2, Sverker Svensjö1
1Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden; Department of Surgery, Falun County Hospital, Falun, Sweden; Center for Clinical Research (CKF), Dalarna, Sweden.
Journal of vascular surgery
|March 4, 2026
概括
与一般查相比,在有吸烟史的女性中,针对腹部大动脉动脉瘤 (AAA) 的有针对性的查使AAA患病率翻了一番. 这种选择性方法可以识别更多的病例,同时查的女性更少,保持检测率.
科学领域:
- 血管外科 血管外科
- 公共卫生查 公共卫生查
- 流行病学 流行病学
背景情况:
- 目前不建议对女性进行腹腔大动脉动脉瘤 (AAA) 的一般人群查.
- 针对高风险个体的选择性查,如有吸烟史的女性,可能为AAA检测提供更有效的方法.
研究的目的:
- 评估一个务实的,基于人口的查策略,选择性地针对有吸烟史的女性进行腹腔大动脉动脉瘤 (AAA) 的查.
主要方法:
- 一项涉及瑞典达拉纳70岁女性 (2018-2022) 的横截面研究.
- 邀请专注于20多年吸烟史的女性进行一次性大动脉超声波.
- 与之前在邻近县进行的一项一般人口查研究的比较.
主要成果:
- 与一般查 (74.2%) 相比,选择性查的出席率较低 (42.6%).
- 查检测的AAA的患病率在选择性组 (0.8%) 与一般组 (0.4%) 相比较高.
- 针对性和一般查策略之间的AAA在总人口中的检测率仍然相似.
结论:
- 在高风险女性吸烟者中针对性AAA查将流行率检测增加一倍,并将查的女性数量减少一半,同时保持检测率.
- 需要进一步的研究来评估这种选择性查方法的临床影响和成本效益.
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