前脊椎体绑定对肺功能的影响
Steven W Hwang1, Stephen Plachta2, Joshua M Pahys1
1Shriners Children's-Philadelphia, Philadelphia, PA.
Spine
|January 19, 2024
概括
前脊椎体绑定 (AVBT) 手术通常可以维持或改善青少年异常脊椎病患者的肺功能. 然而,一些患者可能会出现衰退,这表明需要进一步确定风险因素.
科学领域:
- 整形外科手术 整形外科手术
- 肺部病理学 肺部病理学
- 儿科脊柱形 儿童脊柱形
背景情况:
- 前脊椎体绑定 (AVBT) 对肺部状况的影响尚未得到充分证实.
- 青少年异常学脊椎病可以影响胸腔容量和呼吸机制.
研究的目的:
- 在AVBT前后评估肺功能测试 (PFT) 变化,在患有青少年异常学脊椎病的患者中.
- 为了确定与AVBT后肺功能下降相关的潜在风险因素.
主要方法:
- 在58名接受AVBT的患者的单中心队列中,对PFT的回顾性分析.
- 术前和术后百分比预测PFT值的比较,包括1秒内强制呼吸量 (FEV1) 和强制生命能力 (FVC).
主要成果:
- 平均胸部曲线在AVBT后显著改善.
- 虽然绝对FEV1和FVC有所改善,但百分比预测值基本保持不变.
- 一小部分患者 (10%) 在手术后出现肺功能下降.
- 更糟糕的手术前PFT和仪器仪表延伸到T12以下与FEV1%的下降有关.
结论:
- 在大多数患者中,AVBT与稳定或改善的肺功能有关.
- 一部分患者可能会出现PFT恶化,需要进一步调查.
- 手术前的肺部状况和手术程度是肺部不良结果的潜在风险因素.
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