Thaker Shefali, Anderson Matthew, Fezio James, Rader Christine, Misra Meghna V
Conn Med. 2017 Apr;81(4):203-208.
Pectus carinatum is a congenital chest wall deformity characterized by protrusion ofthe sternum and ribs. External bracing has been the gold standard treatment for this condition for the past 20 years.
The primary purpose of the study was to identify factors that contribute to treatment success of bracing for patients with pectus carinatum. The secondary aim was to identify the optimal age to recommend bracing for pectus carinatum.
176 patients who were evaluated for a brace for pectus carinatum were contacted to participate in an online survey about their experience. A retrospective chart review was conducted on patients who participated in the survey.
Subjects rated themselves as more confident afterbracing(P=.002). Patients who hadfamily sup- port, and no documented complaints (P = .024) and (P = .009) respectively, were more likely to say they had made the right choice to wear the brace.
This study demonstrated that family support and fewer complaints are predictors of success for the brace.
鸡胸是一种先天性胸壁畸形，其特征为胸骨和肋骨突出。在过去20年里，外部支撑一直是这种病症的金标准治疗方法。
本研究的主要目的是确定有助于鸡胸患者支撑治疗成功的因素。次要目的是确定推荐鸡胸支撑治疗的最佳年龄。
联系了176名接受鸡胸支撑器评估的患者，让他们参与一项关于其经历的在线调查。对参与调查的患者进行了回顾性病历审查。
受试者在使用支撑器后自我感觉更自信（P = 0.002）。分别有家庭支持且无记录在案的不适的患者（P = 0.024）和（P = 0.009）更有可能表示他们选择佩戴支撑器是正确的。
本研究表明，家庭支持和较少的不适是支撑器治疗成功的预测因素。
