老年人腹主动脉瘤超声诊断及术后评估研究进展

Advances in ultrasonography for the diagnosis and postoperative evaluation of abdominal aortic aneurysm in the elderly

老年人腹主动脉瘤的发病率高和死亡率高.腹主动脉瘤破裂的不良预后与计划手术后良好的生存率形成鲜明对比.血管内修复术是老年腹主动脉瘤患者首选甚至是唯一的治疗方法,超声检查为腹主动脉瘤筛查和监测的首选成像方式,具有准确性高和可重复性强的特点,为老年腹主动脉瘤患者精确诊断及随访监测的有效手段.现综述老年人腹主动脉瘤超声诊断和术后评估的研究进展进行,探讨常规超声联合超声新技术在该领域的重要应用价值和前景.

The incidence and mortality of abdominal aortic aneurysm in the elderly are high.The poor prognosis of ruptured abdominal aortic aneurysm is in sharp contrast to the good survival after planned surgery.Endovascular repair is the first choice and maybe the only treatment for elderly patients with abdominal aortic aneurysm.Ultrasound is the preferred imaging method for screening and monitoring abdominal aortic aneurysm,with high accuracy and repeatability,and is an effective means for accurate diagnosis and follow-up monitoring in elderly patients with abdominal aortic aneurysm.This paper reviews research progress on ultrasonic diagnosis and postoperative evaluation of abdominal aortic aneurysm in the elderly,and discusses the important application value and prospect of conventional ultrasound combined with new ultrasound technology in this field.