Effects of the Nuss procedure on chest wall kinematics in adolescents with pectus excavatum
Effects of the Nuss procedure on chest wall kinematics in adolescents with pectus excavatum
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DOI：
10.1016/j.resp.2012.05.015
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发表时间：
2012-08-15
影响因子：
2.3
通讯作者：
Scano, G.
中科院分区：
文献类型：
--
作者：
Binazzi, B.;Bruni, G. Innocenti;Scano, G.
关于Nuss手术对漏斗胸青少年胸壁室（上肋骨笼、下肋骨笼和腹部）容积的影响，尚无可用数据。我们使用光电体积描记法对13例漏斗胸患者在Nuss手术前和术后6个月在静息状态和最大自主通气状态下的胸壁运动学进行了定量描述。胸壁容积平均增加11%，在上肋骨架内（p = 0.0001），在腹部和下肋骨架内的增加程度较小。潮气量在研究期间没有显著变化。修复对胸壁运动学的影响与基线时的Haller畸形指数无关。六个月的Nuss手术确实增加了胸壁容积，而不影响胸壁位移和肋骨架构型。(C)2012爱思唯尔有限公司版权所有。
No data are available on the effects of the Nuss procedure on volumes of chest wall compartments (the upper rib cage, lower rib cage and abdomen) in adolescents with pectus excavatum. We used optoelectronic plethysmography to provide a quantitative description of chest wall kinematics before and 6 months after the Nuss procedure at rest and during maximal voluntary ventilation in 13 subjects with pectus excavatum. An average 11% increase in chest wall volume was accommodated within the upper rib cage (p = 0.0001) and to a lesser extent within the abdomen and lower rib cage. Tidal volumes did not significantly change during the study. The repair effect on chest wall kinematics did not correlate with the Haller index of deformity at baseline. Six months of the Nuss procedure do increase chest wall volume without affecting chest wall displacement and rib cage configuration. (C) 2012 Elsevier B.V. All rights reserved.