Redondo Sedano J V, Delgado Muñoz M D, Martí Carrera M E, Gómez Fraile A
Servicio de Cirugía Pediátrica. Sección Cirugía Plástica Infantil. Hospital Universitario 12 de Octubre. Madrid.
Cir Pediatr. 2017 Apr 20;30(2):83-88.
Dynamic compression system is the elective treatment for chondrogladiolar pectus carinatum. Nevertheless, its high cost poses a problem for its prescription in places where it is not subsidized. This article analyzes the experience of the Paediatric Plastic Surgery Service at a third grade hospital in the treatment of this deformity with a static compression system.
The study presents a descriptive, retrospective analysis of 30 patients with pectus carinatum treated with a static compression system. Furthermore, we describe the protocol of treatment used at our unit, and we analyse the satisfaction with bracing therapy, and its relation to therapeutic compliance.
The study includes 28 boys and 2 girls. 93% of the patients presented a chondrogladiolar pectus carinatum. At the moment of finishing the study, 11 patients have completed the treatment, 14 still bracing, and 5 were lost in the follow-up. Satisfaction questionnaires were answered by 19 patients.
Bracing therapy with static compression system is the treatment of choice for chondrogladiolar pectus carinatum in our unit, because of its effectiveness and lower price. Quality of life questionnaires show better marks in patients that are in the second phase of treatment.
动态加压系统是漏斗胸鸡胸的选择性治疗方法。然而，其高昂的成本在未获补贴的地区给其应用带来了问题。本文分析了一家三级医院小儿整形外科使用静态加压系统治疗这种畸形的经验。
本研究对30例采用静态加压系统治疗的鸡胸患者进行了描述性回顾分析。此外，我们描述了本单位使用的治疗方案，并分析了对支具治疗的满意度及其与治疗依从性的关系。
该研究包括28名男孩和2名女孩。93%的患者表现为漏斗胸鸡胸。在研究结束时，11例患者完成了治疗，14例仍在使用支具，5例失访。19例患者回答了满意度问卷。
在我们单位，静态加压系统的支具治疗是漏斗胸鸡胸的首选治疗方法，因为其有效且价格较低。生活质量问卷显示处于治疗第二阶段的患者得分更高。
