胸腔挖掘器的真空钟疗法:在单一中心的长期经验
Shelby Aughtman1, Charles Hehman1, Letitia Janssen2
1Macon and Joan Brock Virginia Health Sciences at Old Dominion University, Department of Surgery, P.O. Box 1980, Norfolk, VA, 23501, United States.
Journal of pediatric surgery
|November 2, 2024
概括
真空钟疗法 (VBT) 在一小群患者中提供了优秀的胸部的纠正. 年轻的患者,胸壁缺陷较轻,灵活性较强,可以通过VBT获得更好的结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 儿科外科手术 儿科外科手术
- 医疗器械 医疗器械 医疗器械
背景情况:
- 胸部挖掘 (pectus excavatum) 是一种常见的先天性胸壁形.
- 真空钟疗法 (VBT) 是一种非手术治疗选择.
- 确定成功的VBT的因素对于患者的选择至关重要.
研究的目的:
- 为了确定在接受VBT治疗的乳腺骨患者中优异正的预测因素.
- 分析与成功VBT结局相关的患者人口统计和临床特征.
主要方法:
- 从2012年至2023年接受VBT的431名患者的回顾性图表审查.
- 分析了拥有完整数据的278名患者.
- 优秀的校正定义为完整的分辨率或胸部深度>100%的改善.
主要成果:
- 11% (31/278) 的患者实现了优异的纠正.
- 年龄较小 (8-12岁),初始胸部深度<1.5厘米,胸壁灵活性预测出色的结果.
- 仅有15.5%的患者需要进行后续手术,而优秀校正组中没有人需要手术.
结论:
- 在一组精选的患者中,可以通过VBT实现出色的乳房腔纠正.
- 在轻度,灵活缺陷的年轻患者的早期干预改善了VBT成功率.
- 这些发现有助于选择可能受益于非手术VBT的患者.
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