(F) 手术前的肺功能测试的有用性在乳房挖掘物中,以评估严重程度
Gabriel C Gonzalez1,2, Alejandra M Casar Berazaluce3,4, Todd M Jenkins4
1College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA. gonzalgc@mail.uc.edu.
Pediatric surgery international
|April 8, 2024
概括
肺功能测试 (PFT) 在乳腺挖掘 (PE) 患者的完成与形严重程度或心肺功能无关. 无法完成PFT并不能表明一个更严重的乳房穴状况.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
背景情况:
- 肺功能测试 (PFT) 在pectus excavatum (PE) 的实用性受到争议.
- 在操作性PFT中,高失败完成率 (48%) 引发了对其手术前评估价值的质疑.
- 调查PE严重程度和心肺功能的替代措施至关重要.
研究的目的:
- 为了评估PFT在手术前的pectus excavatum评估中的实用性.
- 为了确定PE严重程度或心肺功能的其他测量是否与PFT完成率相关.
主要方法:
- 在270名PE患者中,审查了人口统计数据,临床发现,心脏MRI,PFT (精神测量,充血造影) 和心肺运动测试 (CPET).
- 利用回归建模来评估PFT完成和心肺功能之间的关联.
主要成果:
- 在人口统计学,症状或PE/心脏变形指数中,在PFT完成者和非完成者之间没有显著差异.
- 在完成者和非完成者之间,关于心脏功能 (RVEF,LVEF) 和呼吸储备的不一致的发现.
- PFT完成状态与心肺功能连续或二进制分析不一致相关.
结论:
- 完成和不完成PFT的患者在乳房形或心肺功能指标上没有显著差异.
- 无法完成PFT并不能说明胸部的严重程度.
- 在术前PE评估中PFT的临床意义仍然不确定.
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