一些额外的数据,这可能是有用的Diastasis Recti评估
P Ngo1, J-P Cossa1, S Gueroult1
1Institut de la Hernie, Paris, France.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
扩散直径 (DR) 评估应包括全球凸起以及中间凸起. 测量DR宽度在休息和努力之间有显著差异,质疑当前的分类标准.
科学领域:
- 腹壁外科手术 腹壁外科手术
- 肌肉骨系统疾病 肌肉骨系统疾病
- 医学成像医学成像
背景情况:
- 腹膜直流 (DR) 涉及直腹肌肌肉分离,可以呈现中间或全腹部凸起.
- 目前的DR分类依赖于差距宽度,但测量在休息和肌肉炼之间有所不同.
- 了解凸出类型和准确的宽度测量对于有效的DR评估和治疗至关重要.
研究的目的:
- 调查不同类型的膨胀在直径扩散患者的患病率.
- 为了比较通过测量带获得的直径直径宽度测量与静止和运动期间的CT扫描.
- 为了提供额外的功能,用于扩散纠正分类.
主要方法:
- 对从105名接受透析直径和腹修复的患者前性收集的数据进行了回顾性分析.
- 根据中位膨胀,全球膨胀或联合膨胀对患者进行分类.
- 使用测量带和CT扫描在休息状态和腿部抬起时进行的直径直径宽度测量的比较.
主要成果:
- 中位膨胀发生在42.9%的病例中,全球膨胀发生在17.1%,联合膨胀发生在35.2%的病例中.
- 全球膨胀在女性中更为普遍 (55名患者中有51名).
- 在腿部抬起时测量出的直径宽度比静止时的CT扫描更接近CT扫描值,在两种情况下均观察到显著差异.
结论:
- 全球膨胀应与中间膨胀一起纳入扩散直化的评估.
- 休息和运动之间的直径宽度的显著变化需要对哪种测量最适合进行分类进行辩论.
- 需要进一步的研究来完善基于膨胀类型和动态宽度测量的扩散直径分类标准.
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