Pektus ekskavatum hastalarında uygulanan Vacuum Bell tedavisininetkinliğinin değerlendirilmesi
Evaluation of the effectiveness of Vacuum Bell treatment in patients with pectus excavatum
- Tez No: 896223
- Danışmanlar: PROF. DR. COŞKUN ÖZCAN
- Tez Türü: Tıpta Uzmanlık
- Konular: Çocuk Cerrahisi, Pediatric Surgery
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2024
- Dil: Türkçe
- Üniversite: Ege Üniversitesi
- Enstitü: Tıp Fakültesi
- Ana Bilim Dalı: Çocuk Cerrahisi Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 74
Özet
Amaç: Pektus ekskavatumlu hastalara uygulanan Vacuum Bell tedavisinin etkinliğini değerlendirmek ve hastaların tedavi öncesi ve sonrasını psiko-sosyal değişimi görmek amaçlandı. Yöntem: Ocak 2018- Mart 2023 arasında kliniğimizde Pektus Ekskavatum nedeniyle en az 1 yıl Vacuum Bell tedavisi alan hastalar geriye dönük bakıldı. Hastaların demografik özellikleri tedavi sonrası değişiklikler incelendi. Pektus Ekskavatum Değerlendirme Anketi Türkçeye çevrilerek geçerlilik ve güvenilirliği sağlandıktan sonra hastalara uygulandı. Bulgular: 37 Pektus Ekskavatum tanılı hastanın 28(%75.7)'i simetrik, 6(%16.2) hasta asimetrik, 3(%8.1) hasta arkuatum tipindeydi. Tiplere göre incelendiğinde Vacuum Bell tedavisinin simetrik tipte daha etkili olduğu görüldü. Yaş gruplarına göre(
Özet (Çeviri)
Aim: The aim was to evaluate the effectiveness of Vacuum Bell treatment in patients with pectus excavatum and to observe the psychosocial changes before and after the treatment. Methods: Patients who underwent Vacuum Bell treatment for at least one year for pectus excavatum in our clinic between January 2018 and March 2023 were retrospectively reviewed. The demographic characteristics and post-treatment changes of the patients were examined. The Pectus Excavatum Evaluation Questionnaire was translated into Turkish, ensuring its validity and reliability, and then administered to the patients. Results:Out of 37 patients diagnosed with pectus excavatum, 28 (75.7%) had a symmetrical type, 6 (16.2%) had an asymmetrical type, and 3 (8.1%) had an arcuate type. Vacuum Bell treatment was found to be more effective in the symmetrical type. When evaluated according to age groups (15 years), it was observed that the improvement was more effective in those under 10 years of age. Of the patients, 33 (89.2%) were male, and 4 (10.8%) were female, and no gender-related conclusions could be drawn due to the low number of females in the series. When the relationship with vacuum duration was evaluated, it was observed that the change in 22 (59.5%) patients who used it twice a day for 1 hour was better than in 15 (40.5%) patients who used it for more than 1 hour. When evaluated according to the follow-up period, it was observed that the improvement rate was higher in 13 (35.1%) patients who were followed up for 12 months compared to 24 (64.9%) patients who were followed up for more than 12 months. When looking at regular use, it was seen that 29 (78.4%) patients used the treatment regularly, while 9 (21.6%) patients did not use the treatment regularly. It was observed that the improvement was greater in those who used it regularly. The Pectus Excavatum Evaluation Questionnaire was administered to 20 patients over the age of 10 to evaluate the changes before and after treatment. The results of the questionnaire administered to the patients showed that the improvement provided by Vacuum Bell treatment also contributed to psychological improvement. viii Conclusion:Vacuum Bell treatment should be started at an early age in patients with pectus excavatum deformity. It was observed that the patients experienced improvements in both physiological appearance and psychosocial functions with the treatment. Vacuum Bell treatment should be preferred primarily in those with mild to moderate deformities.
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