建议以后方角度作为香骨在乳腺挖的诊断措施
Daniela Sanjurjo1, Luzia Toselli1, Cecilia Gigena1
1Fundacion Hospitalaria Mother and Child Medical Center. Av. Crámer 4601, Buenos Aires, C1429AKL, Argentina; Clinica Mi Pectus, Buenos Aires, Argentina, Av. Crámer 4602, Capital Federal, Buenos Aires, C1429AKL, Argentina.
Journal of pediatric surgery
|August 28, 2024
概括
背骨角 (RSA) 提供了一个客观的方法来诊断香胸骨 (BS) 在乳腺挖掘患者. 148.5°的值显示了高精度,有助于外科决定.
科学领域:
- 胸部外科手术 胸部外科手术
- 医疗成像医学成像
- 儿科手术 儿科手术
背景情况:
- 前面凸起的胸骨或香胸骨 (BS) 复杂化了 pectus excavatum 修复的决定.
- 目前对BS的定义是主观的,影响了外科手术规划,特别是关于条位的必要性.
研究的目的:
- 引入后背角 (RSA) 作为一个客观的诊断措施,用于识别香胸骨 (BS).
- 评估RSA在区分BS与非BS患者的疗效.
主要方法:
- 对283名接受微创性乳房挖掘性修复 (MIRPE) 的患者的回顾性分析.
- 专家胸部外科医生根据共识将患者分为BS或非BS组.
- 背侧角 (RSA) 的测量是从一个独立的外科医生的胸部CT扫描中进行的.
主要成果:
- 50名患者 (18%) 被归类为BS,233名 (82%) 被归类为非BS.
- 与非BS组 (154.5° ± 10.3°) 相比,BS组的背侧角 (RSA) 在BS组 (141.2° ± 8.4°) 中明显较低.
- RSA可靠地预测了BS (AUC 0.85),148.5°的值显示了80%的灵敏度和77%的特异性. 在BS患者中,穿过酒吧的比率更高 (52%对19%).
结论:
- 背侧角 (RSA) 提供了一个客观的指标来评估CT扫描中的香胸部 (BS).
- 对于RSA,148.5°的值表明了对BS检测的高灵敏度和特异性.
- 为未来的研究,建议对RSA及其值进行外部验证.
相关概念视频
Assessment of Airway, Skin Color, and Use of Accessory Muscles
981
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
981
Physical Assessment of the Respiratory Tract II: Inspection
238
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
238
Assessment of apical pulse
862
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
862
Respiratory System Abnormal Finding I: Inspection and Percussion
229
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
229
Physical Assessment of the Respiratory Tract II: Palpation
278
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
278
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K


