腹主动脉瘤破裂风险预测因素的综述  

A review of risk predictors for ruptured abdominal aortic aneurysms

作　　者：地力夏提·阿不都热合曼 王护国[1] Dilixiat•Abudureheman;Wang Huguo(Department of Vascular and Thyroid Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院血管甲状腺外科,新疆乌鲁木齐830011

出　　处：《血管与腔内血管外科杂志》2025年第2期205-211,共7页Journal of Vascular and Endovascular Surgery

摘　　要：腹主动脉瘤破裂(RAAA)是腹主动脉瘤(AAA)最为凶险的并发症之一,是导致患者死亡的重要原因。术前识别和干预高危患者,是降低其发生的关键手段。本文综合分析了影响RAAA的主要预测因素,包括动脉瘤直径、扩张速度、血流动力学因素、腔内血栓、新月征、正电子发射计算机断层显像(PET)、磁共振弹性成像(MRE)等,从而帮助临床医师识别未破裂AAA的高危患者,制定个体化的治疗方案,从而降低破裂风险,改善患者预后。Rupture of abdominal aortic aneurysm(RAAA)is one of the most dangerous complications of abdominal aortic aneurysm(AAA)and an important cause of death.Preoperative identification and intervention of high-risk patients is the key means to reduce its occurrence.This paper comprehensively analyzed the main predictors of RAAA,including aneurysm diameter,dilation rate,hemodynamic factors,intracavity thrombosis,crescent sign,positron emission tomography(PET),magnetic resonance elastography(MRE),and so on,to help clinicians identify high-risk patients unruptured AAA and develop individualized treatment plans.Thereby reducing the risk of rupture and improving patient outcomes.

关 键 词：腹主动脉瘤 腹主动脉瘤破裂 危险因素 

分 类 号：R543[医药卫生—心血管疾病]