通过结构光胸压计评估儿童肺部手术后的肺功能:初步分析

IF 1.1 4区 医学 Q4 ALLERGY
Michele Ghezzi, Luisa Abbattista, Anna Dighera, Annalisa De Silvestri, Andrea Farolfi, Gloria Pelizzo, Giovanna Riccipetitoni, Sara Costanzo, Valeria Calcaterra, Gian Vincenzo Zuccotti
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引用次数: 0

摘要

背景:结构光胸透(SLP)是一种基于光的新型方法,可捕捉胸壁运动以评估潮式呼吸。方法: 对 32 名接受肺部手术的儿童进行研究:32名接受过肺部手术的儿童被纳入研究。收集他们的临床病史以及肺活量测定和结构光胸廓描记术。结果:手术年龄中位数为 9 个月:手术年龄中位数为 9 个月(四分位数间距为 4-30 个月)。最常见的诊断是先天性肺气道畸形(14/32),然后是肺栓塞(9/32)、肿瘤(5/32)和支气管源性囊肿(4/32)。最常见的手术方式是肺叶切除术(59%)、肺段切除术(38%)和完全切除术(3%)。80%以上的患者在3岁以下时接受了手术。8名患者出现了短期并发症(胸腔积液最为常见),15名患者出现了长期并发症(19%反复咳嗽、13%胸廓畸形、13%气道感染、9%喘息、6%运动耐力下降、3%柱状畸形)。9/22 名患者的肺活量正常。9 名患者的肺功能呈限制性模式,4 名患者呈轻度支气管反应性。10名患者因年龄较小而未进行肺活量测定。SLP显示10%的患者存在阻塞性模式(IE50>1.88),29%的患者两个气胸之间存在显著差异。讨论:对于接受肺切除术的学龄前儿童,SLP 可能是一种评估肺功能的新方法,且无需协作和辐射暴露。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lung Function Evaluated By Structured Light Plethysmography in Children After Lung Surgery: A Preliminary Analysis.

Background: Structured light plethysmography (SLP) is a novel light-based method that captures chest wall movements to evaluate tidal breathing. Methods: Thirty-two children who underwent lung surgery were enrolled. Their clinical history was collected along with spirometry and SLP. Results: Median age of surgery was 9 months (interquartile range 4-30). Most frequent diagnosis was congenital pulmonary airway malformation (14/32), then pulmonary sequestration (9/32), tumor (5/32), and bronchogenic cyst (4/32). The most frequent surgical approach was lobectomy (59%), segmentectomy (38%), and complete resection (3%). More than 80% had surgery when younger than 3 years of age. Eight patients had short-term complications (pleural effusion was the most frequent), while long-term effects were reported in 15 patients (19% recurrent cough, 13% thoracic deformities, 13% airway infections, 9% wheezing, 6% reduced exercise tolerance, and 3% columnar deformities). Spirometry was normal in 9/22 patients. Nine patients had a restrictive pattern, while 4 showed a mild bronco-reactivity. Ten patients did not perform spirometry because of young age. SLP revealed the presence of obstructive pattern in 10% of patients (IE50 > 1.88) and showed a significant difference between the two hemithorax in 29% of patients. Discussion: SLP may be a new method to evaluate lung function, without collaboration and radiation exposure, in children who underwent lung resection, also in preschool age.

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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
23
审稿时长
>12 weeks
期刊介绍: Pediatric Allergy, Immunology, and Pulmonology is a peer-reviewed journal designed to promote understanding and advance the treatment of respiratory, allergic, and immunologic diseases in children. The Journal delivers original translational, clinical, and epidemiologic research on the most common chronic illnesses of children—asthma and allergies—as well as many less common and rare diseases. It emphasizes the developmental implications of the morphological, physiological, pharmacological, and sociological components of these problems, as well as the impact of disease processes on families. Pediatric Allergy, Immunology, and Pulmonology coverage includes: -Functional and genetic immune deficiencies- Interstitial lung diseases- Both common and rare respiratory, allergic, and immunologic diseases- Patient care- Patient education research- Public health policy- International health studies
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