关于乳腺挖掘物管理的国际调查:是否存在共识?
Ufuk Ateş1, Ege Evin2, Kutay Bahadır3
1Department of Pediatric Surgery, Faculty of Medicine, Ankara University, 06100, Dikimevi, Ankara, Turkey. drufukates@gmail.com.
尽管使用了Nuss手术,但胸腔挖掘 (PE) 的管理有很大差异.
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
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷.
背景情况:
- 胸腔挖掘 (PE) 是最常见的先天性胸壁异常.
- 虽然PE通常是化品,但可以影响心肺功能.
- 努斯手术提供了最少的侵入性手术纠正,并改善了结果.
研究的目的:
- 评估PE管理中的当前诊断和治疗变异性.
- 确定有关手术指示,手术技术和术后护理的专家共识.
- 强调需要在PE治疗中制定标准化指导方针.
主要方法:
- 在100名国际PE专家中分发了一份31个问题的基于网络的调查.
- 该调查涵盖人口统计,手术前评估,手术指示,手术技术和术后管理.
- 分析了外科医生反应的数据,以确定趋势和变化.
主要成果:
- 严重的变形,哈勒指数>3.25,社会心理困扰和症状是首要的外科治疗指示.
- 对于复杂的病例,双棒技术是首选的;通常在手术后2-3年取出棒.
- 肺胸炎和感染是常见的早期并发症;棒位移是最常见的晚期并发症.
结论:
- 尽管采用了Nuss程序,但乳腺挖掘物管理中存在显著的差异.
- 需要标准化,基于证据的指导方针来优化患者的治疗结果.
- 进一步的研究和建立共识对于一致的PE护理至关重要.
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