Evaluation of thorax and mediastinum volumes in patients with pectus excavatum by stereological methods.

IF 0.5 4区 医学 Q4 SURGERY
Caner İşevi, Mehmet Gökhan Pirzirenli, Ahmet Başoğlu
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引用次数: 0

Abstract

Background: In this study, we aimed to assess the pre- and postoperative thoracic and mediastinal volumes in patients who received minimally invasive pectus excavatum repair for pectus excavatum.

Methods: Between January 2017 and January 2022, a total of 51 patients (41 males, 10 females; mean age: 15.5±3.5 years; range, 9 to 33 years) who underwent received minimally invasive pectus excavatum repair were retrospectively analyzed. The pre- and postoperative (after bar removal) thoracic computed tomography scans of the patients were evaluated and the mediastinal, lung, and thoracic volumes were calculated using stereological techniques.

Results: The mean pre- and postoperative Haller Index was 3.87±1.32 and 3.28±0.86, respectively. The mean preoperative lung volume-to-preoperative thoracic volume ratio was 79.52±5.15% and the mean postoperative lung volume-to-postoperative thoracic volume ratio was 78.86±6.05%. The mean preoperative mediastinal volume-to-thoracic volume ratio was 20.48±5.15%, and the mean postoperative mediastinal volume-to-thoracic volume ratio was 21.14±6.05%.

Conclusion: Our study results showed no statistically significant increase in the thoracic and mediastinal volumes calculated using stereological methods, while the Haller index values regressed in all patients. These findings suggest that while there may not be a qualitative increase in thoracic and mediastinal volume, there is a quantitative increase in the anteroposterior plane.

用体视学方法评价漏斗胸患者胸腔和纵隔容积。
背景:在本研究中,我们旨在评估接受微创漏斗胸修复术的患者术前和术后胸腔和纵隔容积。方法:2017年1月至2022年1月,共51例患者(男41例,女10例;平均年龄:15.5±3.5岁;回顾性分析9 ~ 33岁接受微创漏斗胸修复的患者。评估患者术前和术后(去除杆状物后)的胸部计算机断层扫描,并使用立体学技术计算纵隔、肺和胸部体积。结果:术前和术后平均哈勒指数分别为3.87±1.32和3.28±0.86。术前肺体积与胸体积之比平均为79.52±5.15%,术后肺体积与胸体积之比平均为78.86±6.05%。术前纵膈容积-胸容积比平均为20.48±5.15%,术后纵膈容积-胸容积比平均为21.14±6.05%。结论:我们的研究结果显示,使用立体学方法计算的胸椎和纵隔容积没有统计学意义上的增加,而所有患者的Haller指数值都出现了回归。这些结果表明,虽然胸椎和纵隔容积可能没有定性的增加,但在前后平面上有定量的增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
98
审稿时长
3-8 weeks
期刊介绍: The Turkish Journal of Thoracic and Cardiovascular Surgery is an international open access journal which publishes original articles on topics in generality of Cardiac, Thoracic, Arterial, Venous, Lymphatic Disorders and their managements. These encompass all relevant clinical, surgical and experimental studies, editorials, current and collective reviews, technical know-how papers, case reports, interesting images, How to Do It papers, correspondences, and commentaries.
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