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背侧弹力纤维瘤在优势手同侧的发生率是否更高?

Does elastofibroma dorsi occur more frequently on the same side with the dominant hand?

作者信息

Kanbur Metin Serda, Evman Serdar

机构信息

Department of Thoracic Surgery, University of Health Sciences, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Apr 27;30(2):250-256. doi: 10.5606/tgkdc.dergisi.2022.21885. eCollection 2022 Apr.

Abstract

BACKGROUND

In this study, we aimed to investigate the correlation between the side of elastofibroma dorsi formation and the dominant-hand of the patients we operated.

METHODS

A total of 84 patients with elastofibroma dorsi (12 males, 72 females; mean age: 55.5±7.0 years; range, 43 to 74 years) were retrospectively analyzed between April 2007 and May 2019. Dominant hand, location, size, sex, age, occupations and follow-up of the mass were recorded and the pre- and postoperative Visual Analog Scale scores were noted.

RESULTS

The mean symptom duration was 9.5±7.8 (range, 3 to 48) months. The lesions were located on the right in 49 (58.3%), on the left in 16 (19%) and bilateral in 19 (22.6%). There was no significant difference between the mass size and age, symptom duration and complication development (p=0.129). A significant relation was found between the formation of the mass on the side of the dominant hand (p=0.010). A significant difference was found between the pre- and postoperative Day 90 Visual Analog Scale scores (p<0.001), indicating a significant decrease in the pain scores.

CONCLUSION

Elastofibroma dorsi has good clinical results after surgical resection. In our series, the patients had significantly more elastofibroma dorsi on their dominant-hand side.

摘要

背景

在本研究中,我们旨在调查背侧弹力纤维瘤形成的侧别与接受手术治疗患者的优势手之间的相关性。

方法

回顾性分析2007年4月至2019年5月期间共84例背侧弹力纤维瘤患者(男性12例,女性72例;平均年龄:55.5±7.0岁;范围43至74岁)。记录优势手、肿块位置、大小、性别、年龄、职业及随访情况,并记录术前及术后视觉模拟评分。

结果

平均症状持续时间为9.5±7.8(范围3至48)个月。病变位于右侧49例(58.3%),左侧16例(19%),双侧19例(22.6%)。肿块大小与年龄、症状持续时间及并发症发生情况之间无显著差异(p = 0.129)。发现肿块在优势手侧形成之间存在显著相关性(p = 0.010)。术前与术后90天视觉模拟评分之间存在显著差异(p < 0.001),表明疼痛评分显著降低。

结论

背侧弹力纤维瘤手术切除后临床效果良好。在我们的系列研究中,患者优势手侧的背侧弹力纤维瘤明显更多。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca83/9473602/a6668051ecd7/TJTCS-2022-30-2-250-256-F1.jpg

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