Department of Thoracic Surgery, St George's Hospital NHS Foundation Trust, London, United Kingdom.
Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
Ann Thorac Surg. 2020 Feb;109(2):413-419. doi: 10.1016/j.athoracsur.2019.08.026. Epub 2019 Sep 23.
To assess the impact of manipulation and a tailored program for compressive bracing on the quality of life of patients with flexible pectus carinatum.
Two hundred forty-nine sequential patients attending a clinic for assessment of pectus carinatum deformities underwent outpatient manipulation and then followed a prescribed schedule of continuous external compressive bracing but without significant progressive tightening.
There was successful sustained reduction of the deformity in 244 patients with high reported rates of concordance (98%) and satisfaction (94%). Patients experienced a reduction in symptoms of anxiety and depression (P < .001) and had improved body satisfaction (P < .001). Mild skin irritation occurred in 18% of patients (n = 44), and there were 2 severe cases of skin irritation, 1 of which resulted in abandonment of bracing.
Manipulation and nontightening compressive bracing was associated with complete concordance, high levels of successful bracing, improved confidence, and reduced psychological morbidity.
评估手法操作和定制压缩支具治疗对柔韧性鸡胸患者生活质量的影响。
249 例连续就诊于鸡胸畸形评估门诊的患者接受了门诊手法操作，然后遵循规定的连续外部压缩支具治疗方案，但没有明显的持续紧固。
244 例患者成功地维持了畸形的减轻，报告的一致性（98%）和满意度（94%）都很高。患者的焦虑和抑郁症状减轻（P<0.001），并且身体满意度提高（P<0.001）。18%的患者（n=44）出现轻度皮肤刺激，2 例严重皮肤刺激，其中 1 例导致支具治疗中断。
手法操作和非紧固性压缩支具治疗与完全一致、高比例的成功支具治疗、信心提高以及心理病态减少有关。
