Chen Chenghao, Zeng Qi, Li Zhongzhi, Zhang Na, Yu Jie
Department of Cardiothoracic Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
Department of Cardiothoracic Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
J Pediatr Surg. 2018 Sep;53(9):1855-1857. doi: 10.1016/j.jpedsurg.2017.12.013. Epub 2017 Dec 24.
To measure the force required for correcting pectus carinatum to the desired position and investigate the correlations of the required force with patients' gender, age, deformity type, severity and body mass index (BMI).
A total of 125 patients with pectus carinatum were enrolled in the study from August 2013 to August 2016. Their gender, age, deformity type, severity and BMI were recorded. A chest wall compressor was used to measure the force required for correcting the chest wall deformity. Multivariate linear regression was used for data analysis.
Among the 125 patients, 112 were males and 13 were females. Their mean age was 13.7±1.5 years old, mean Haller index was 2.1±0.2, and mean BMI was 17.4±1.8 kg/m. Multivariate linear regression analysis showed that the desirable force for correcting chest wall deformity was not correlated with gender and deformity type, but positively correlated with age and BMI and negatively correlated with Haller index.
The desirable force measured for correcting chest wall deformities of patients with pectus carinatum positively correlates with age and BMI and negatively correlates with Haller index. The study provides valuable information for future improvement of implanted bar, bar fixation technique, and personalized surgery.
Retrospective study.
Level 3-4.
测量将鸡胸矫正至理想位置所需的力量，并研究所需力量与患者性别、年龄、畸形类型、严重程度及体重指数（BMI）之间的相关性。
2013年8月至2016年8月，共纳入125例鸡胸患者。记录他们的性别、年龄、畸形类型、严重程度及BMI。使用胸壁压迫器测量矫正胸壁畸形所需的力量。采用多变量线性回归进行数据分析。
125例患者中，男性112例，女性13例。他们的平均年龄为13.7±1.5岁，平均哈勒指数为2.1±0.2，平均BMI为17.4±1.8kg/m²。多变量线性回归分析显示，矫正胸壁畸形所需的理想力量与性别和畸形类型无关，但与年龄和BMI呈正相关，与哈勒指数呈负相关。
测量得到的矫正鸡胸患者胸壁畸形所需的理想力量与年龄和BMI呈正相关，与哈勒指数呈负相关。该研究为未来改进植入棒、棒固定技术及个性化手术提供了有价值的信息。
回顾性研究。
3-4级。
