儿童乳腺骨的支:当前的做法
Pavol Omanik1, Sergio Bruno Sesia2, Katarina Kozlikova3
1Department of Pediatric Surgery, National Institute of Children's Diseases, 83340 Bratislava, Slovakia.
Children (Basel, Switzerland)
|April 27, 2024
概括
压缩性整形支架 (COB) 是乳腺癌 (PC) 的首要治疗方法,具有很高的遵从性. 建议进行标准化和延长后续,以提高COB的有效性,特别是在青春期.
科学领域:
- 儿科整形外科 儿科整形外科
- 胸部外科手术 胸部外科手术
- 生物医学工程 生物医学工程
背景情况:
- 压缩性整形支架 (COB) 对乳腺癌 (PC) 有效,但缺乏标准化的协议.
- 对于儿科PC的COB目前的实践是多样化的.
- 胸壁国际集团 (CWIG) 发起了一项研究来分析这些做法.
研究的目的:
- 分析CWIG成员中使用压缩性整形支架诊断和治疗乳腺癌的当前做法.
- 识别COB协议的变化,包括诊断工作,年龄指示,支架类型和治疗持续时间.
- 评估与COB相关的治疗结果,并发症和复发率.
主要方法:
- 一个基于网络的问卷被分发给208个CWIG成员部门.
- 该问卷包括30个问题,涵盖诊断工作,COB指示年龄,支架类型,佩戴时间,治疗持续时间,并发症和复发情况.
- 从44个部门收集了回复,获得了21.2%的机构回复率.
主要成果:
- 93%的受访者认为COB是PC的第一线治疗.
- 传统的COB (CC) 使用率为59%,而动态压缩系统 (FMF) 使用率为41%.
- 符合性超过80%;然而,实际佩戴时间低于推 (p < 0.01). FMF表现出比CC更快的响应 (p < 0.01). 复发率各不相同,61%的人报告复发率为10-30%.
结论:
- COB是PC的广泛接受的第一线治疗方法,患者遵守性很高.
- 在青春期观察到明显的复发率.
- 标准化COB治疗和延长青春期的随访对于提高治疗疗效至关重要.
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