(图)未破裂的腹部动脉血管瘤(AAA)的治疗原则

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腹部主动脉瘤是 (AAA) 一个比较常见的并且危险的疾病。尤其65岁以上并伴有血管粥状硬化疾病的男性。吸烟也是一个因素。我们诊所所有吸烟65岁以上男性都做一次性腹部超声来筛选。对于有腹部血管瘤病史的患者如果有急性腹痛发作,要排除血管瘤破裂,要去急诊室紧急手术。

 

 


什么是未破裂的腹部血管瘤的治疗监测原则呢?

 

 

 

  1. 偶尔发现的小于3厘米的不需要监测;
  2. 3-4厘米的,每年一次腹部超声监测是否增大;
  3. 4-4.5厘米的,每半年一次腹部超声;
  4. 直径大于4.5厘米的,应介绍到血管外科评估治疗


并不是所有血管瘤都建议马上手术治疗,因为手术的风险性,要考虑平衡平衡手术的风险和益处。

From Medscape
Figure From http://uhealthsystem.com/
欢迎转载,请注明出处!多谢!回家路

 

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