Orhan Fındık, Ali Fedakar, İbrahim Kara, Özgür Kocamaz, Cantürk Çakalağaoğlu, Cengiz Köksal, Hasan Sunar

Opere Abdominal Aort Anevrizmalarında Risk Faktörlerinin İncelenmesi

Amaç: Abdominal aort anevrizması yaşlılarda sık görülen kompleks etyolojisi olan bir hastalıktır. Abdominal aort anevrizması (AAA) için bilinen risk faktörleri yaş, erkek cinsiyet, ailede AAA varlığı, vücüdun başka bir yerindeki arteryel anevrizmalar (özellikle femoral ve popliteal arter), sigara, diabetes mellitus, ateroskleroz ve hipertansiyondur. Çalışmamızda kliniğimizde opere edilen 210 vakayı retrospektif tarayarak, literatür eşliğinde ülkemizdeki risk faktörlerini incelemeyi amaçladık. Hastalar ve Metod: Ocak 1998 - Ocak 2010 tarihleri arasında tedavi edilen cerrahi sınırlardaki abdominal aort anevrizmalı 210 hasta çalışmaya dahil edildi ve hastane kayıtları retrospektif olarak incelendi. Hastalar yaş, cinsiyet, hipertansiyon, kronik obstriktif akciğer hastalığı, ateroskleroz, diabet ve sigara tüketimi yönünden araştırıldı. Bulgular: Operasyona alınan 210 hastanın 187'si erkek, 23'ü kadın olup ortalama yaş 64,4±8,9 idi. En sık eşlik eden risk faktörleri sigara kullanımı (%76,7), hipertansiyon (%67.6), kronik obstrüktif akciğer hastalığı (KOAH) (%35,7), hiperkolesterolemi (%30.9), diabetes mellitus (%10.1) idi. Sonuç: Çalışma grubumuzda sigara içimi en önemli risk faktörü olarak tespit edildi. Toplumumuzda sigara içim oranının yüksek olmasının, AAA sıklığını arttırdığını düşünüyoruz. Sigara içimini önlemeye yönelik toplumsal kampanyaların etkin şekilde uygulanması AAA sıklığını azaltmada umut vericidir.

Anahtar Kelimeler:

Abdominal Aort Anevrizması, Ateroskleroz, Sigara, Diabetes Mellitus.

Risk Factors Analysis in Operated Abdominal Aortic Aneurysm Patients

Background: Abdominal aortic aneurysm is a common disease of the elderly, with a complex etiology. The known risk factors for abdominal aortic aneurysm is age, male gender, presence of family history of AAA, presence of aneurysms elsewhere (especially at the femoral and popliteal artery), smoking, diabetes mellitus, atherosclerosis and hypertension. The aim of this study was to evaluate risk factors associated with operated abdominal aortic aneurysm in our center. Patients and Method: Our study population consisted of 210 patients who had been performed abdominal aortic aneurysm surgery between January 1998 and January 2010 in our clinic. The study was designed in a retrospective manner and all data were collected from hospital records. The patients were searched for diabetes mellitus, hypertension, age, gender, hyperlipidemia, atherosclerosis and smoking. Results: 187 of 210 patients male and 23 of 210 patients female. The mean age was 64,4±8,9. The most common risk factors were diabetes mellitus (10.1%), hypertension (67.6%), hyperlipidemia (30.9%), chronic obstructive pulmonary disease (35.7%) and smoking (76.7%) for abdominal aortic aneurysm. Conclusion: Smoking was found be as the most important risk factor for abdominal aortic aneurysm. To our knowledge, high rate of smoking in our society has a direct link with abdominal aortic aneurysm. The effective implementation of social campaigns to prevent smoking may be promising for reducing the incidence of abdominal aortic aneurysm in our society

Keywords:

Abdominal Aortic Aneurysm, Atherosclerosis, Smoking, Diabetes Mellitus.,

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T.C.Sağlık Bakanlığı Yayınları 2009 (anka ajans).

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi