60岁及以上人群腹主动脉直径及肾下动脉瘤患病率的血管超声评估。

Nguyen Tuan Hai, Pham Manh Hung, Nguyen Ngoc Quang
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引用次数: 0

摘要

背景:腹主动脉血管超声检查是一种简单而有效的技术,可以评估腹主动脉的形态和大小,以及识别肾下动脉瘤,这是一种具有显著死亡率的潜在疾病。目的:本研究旨在利用血管超声评估社区人群腹主动脉的直径和形态,并确定肾下动脉瘤的患病率。方法:从多个省份随机抽取年龄在60岁及以上的个体。腹主动脉直径测量采用血管超声根据既定的国际准则。结果:共有810人入组,其中男性40.2%,平均年龄70.9±7.56岁。男性平均肾下腹主动脉直径为18.2±2.93 mm,女性平均为16.3±1.87 mm (p < 0.001)。随着年龄的增长,主动脉直径明显增加。年龄、男性、体表面积和当前吸烟状况是肾下主动脉直径的重要预测因素。结论:在这项以人群为基础的调查中,男性平均肾下腹主动脉直径为18.2±2.93 mm,女性为16.3±1.87 mm,肾下主动脉瘤患病率为0.12%。进一步以人群为基础的研究需要更大的样本和更长时间的随访,以进一步研究易患后期动脉瘤的主动脉形态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Vascular Ultrasound Assessment of Abdominal Aortic Diameter and Prevalence of Infrarenal Aortic Aneurysm in Individuals Aged 60 Years and Above.

Vascular Ultrasound Assessment of Abdominal Aortic Diameter and Prevalence of Infrarenal Aortic Aneurysm in Individuals Aged 60 Years and Above.

Background: Vascular ultrasound evaluation of the abdominal aorta is a simple and efficient technique for assessing the morphology and size of the abdominal aorta, as well as for identifying infrarenal aortic aneurysms, a potential condition with significant mortality.

Objective: This study aims to evaluate the diameter and morphology of abdominal aorta in a community-based population using vascular ultrasound and to determine the prevalence of infrarenal aortic aneurysms.

Methods: A randomized sample of individuals aged 60 years and above was recruited from several provinces. Abdominal aortic diameters were measured using vascular ultrasound according to established international guidelines.

Results: 810 individuals were enrolled in the study, of whom 40.2% were male, with a mean age of 70.9 ± 7.56 years. The mean infrarenal abdominal aortic diameter was 18.2 ± 2.93 mm in men and 16.3 ± 1.87 mm in women (p < 0.001). A significant increase in aortic diameter was observed with advancing age. Age, male sex, body surface area, and current smoking status were significant predictors of infrarenal aortic diameter.

Conclusion: In this population-based survey, the mean infrarenal abdominal aortic diameter was 18.2 ± 2.93 mm in men and 16.3 ± 1.87 mm in women, with an infrarenal aortic aneurysm prevalence of 0.12%. Further population-based studies with a bigger sample and extended follow-up are necessary to investigate further the aortic morphologies predisposing to later aneurysm.

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