[鸡胸动态加压支具]
[Dynamic compression brace for pectus carinatum].
作者信息
de Beer Sjoerd A, de Jong Justin R, Heij Hugo A
机构信息
Kinderchirurgisch Centrum Amsterdam, Emma Kinderziekenhuis, AMC en VUmc, Amsterdam.
出版信息
Ned Tijdschr Geneeskd. 2013;157(46):A6796.
Pectus carinatum occurs in one of 1500-1700 people and may lead to physical, cosmetic and psychosocial problems. Surgical treatment of pectus carinatum is performed using the 'Ravitch procedure'. An alternative and less invasive treatment consists of external compression with a brace. Results are often disappointing because of skin complications, a low level of comfort of the brace and low compliance. Nowadays a new brace (dynamic compression brace) exists with which the comfort and thus the compliance can be increased by measuring and regulating the pressure of correction during the treatment. This leads to better results and fewer complications. In 80-90% of patients the results are good to excellent and an operation can be avoided. This new brace is therefore a less invasive, cheap and safe alternative to the Ravitch procedure in the treatment of pectus carinatum in children.
鸡胸的发病率为1500至1700人中1例，可能导致身体、外观及心理社会问题。鸡胸的外科治疗采用“Ravitch手术”。一种替代性的、侵入性较小的治疗方法是使用支具进行外部压迫。由于皮肤并发症、支具舒适度低以及依从性差，治疗结果往往令人失望。如今有一种新型支具（动态压迫支具），通过在治疗过程中测量和调节矫正压力，可以提高舒适度，进而提高依从性。这会带来更好的治疗效果和更少的并发症。80%至90%的患者治疗效果良好至极佳，可避免手术。因此，在治疗儿童鸡胸方面，这种新型支具是一种侵入性较小、价格低廉且安全的替代Ravitch手术的方法。
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