Abdominal aortic aneurysm screening: 2006 recommendations.
Abdominal aortic aneurysm screening: 2006 recommendations.
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DOI：
10.1586/14737167.6.5.555
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发表时间：
2006-10-01
影响因子：
2.3
通讯作者：
Cornuz, Jacques
中科院分区：
文献类型：
--
作者：
Guessous, Idris;Cornuz, Jacques
健康组织最近建议65-75岁曾经吸烟的男性通过超声检查一次性检查腹主动脉瘤（AAA）。这一建议来自于一项系统综述的结果，该综述表明，AAA筛查和大AAA手术修复可降低该人群中AAA特异性死亡率。此外，AAA筛查具有成本效益。然而，在日常实践中应用AAA筛查的有效性和对小型AAA的最佳护理方面，人们仍然存在担忧，研究临床试验表明，早期选择性手术并不能挽救生命。AAA筛选的可行性研究和能够减缓小型AAA扩张速度的药物治疗研究都可以解决这些问题。
Health organizations have recently recommended one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65-75 years who have ever smoked. This recommendation emerged from the results of a systematic review demonstrating that AAA screening and surgical repair of large AAA leads to a decreased AAA-specific mortality in this population. Moreover, AAA screening is cost effective. However, concerns persist about the effectiveness of AAA screening when applied in the daily practice setting and the best care of small AAA, for which research clinical trials have shown that early, elective surgery does not save lives. Feasibility studies of AAA screening and pharmacotherapy studies capable of slowing down the expansion rate of small AAAs may both address these concerns.