Cozzi Denis A, Ceccanti Silvia, Mele Ermelinda, Frediani Simone, Totonelli Giorgia, Cozzi Francesco
Pediatric Surgery Unit, University of Rome La Sapienza, Azienda Policlinico Umberto I, Rome, RM 00161, Italy.
J Pediatr Surg. 2008 Oct;43(10):1802-6. doi: 10.1016/j.jpedsurg.2008.02.066.
BACKGROUND/PURPOSE: No studies have investigated the cosmetic outcome of current approaches to pyloromyotomy in infants with hypertrophic pyloric stenosis. The purpose of this study was to evaluate the final appearance of the scar in patients undergoing circumumbilical pyloromyotomy.
During a 16-year period, 86 infants underwent circumumbilical pyloromyotomy at our institution. A detailed questionnaire was created to document the family members' perceptions of the esthetic appearance of the scar. Data were collected by telephone interview and at clinic visit. In addition, cosmesis was assessed by 5 staff members who scored blindly the esthetic outcome of the scars with comparative photographs, using a categorical scale.
Fifty-seven families were tracked by telephone contact. In the family questionnaire, 100% of families reported an excellent or good scar. Of these, forty-one (72%) were available for cosmetic assessment. Follow-up ranged between 5 months and 15 years (mean, 6 years). The panel members ranked the scar, on average, as excellent or good for 90% of the patients. No assessor stated that a scar was unacceptable. Intra- and interobserver agreement was 0.72 and 0.78, respectively.
Overall satisfaction with the cosmetic outcome of circumumbilical pyloromyotomy is very high.
背景/目的：尚无研究调查目前针对肥厚性幽门狭窄婴儿的幽门肌切开术方法的美容效果。本研究的目的是评估接受脐周幽门肌切开术患者瘢痕的最终外观。
在16年期间，86例婴儿在我们机构接受了脐周幽门肌切开术。设计了一份详细问卷，以记录家庭成员对瘢痕美学外观的看法。通过电话访谈和门诊就诊收集数据。此外，由5名工作人员进行美容评估，他们使用分类量表，通过比较照片对瘢痕的美学效果进行盲法评分。
通过电话联系追踪了57个家庭。在家庭问卷中，100%的家庭报告瘢痕为优秀或良好。其中，41例（72%）可进行美容评估。随访时间为5个月至15年（平均6年）。评估小组成员对90%的患者瘢痕平均评为优秀或良好。没有评估者表示瘢痕不可接受。观察者内和观察者间的一致性分别为0.72和0.78。
对脐周幽门肌切开术美容效果的总体满意度非常高。
