tailieunhanh - Báo cáo y học: " Long-term results of diaphragmatic plication in adults with unilateral diaphragm paralysis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Long-term results of diaphragmatic plication in adults with unilateral diaphragm paralysis. | Celik et al. Journal of Cardiothoracic Surgery 2010 5 111 http content 5 1 111 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Long-term results of diaphragmatic plication in adults with unilateral diaphragm paralysis Sezai Celik Muharrem Celik Bulent Aydemir Cemalettin Tunckaya Tamer Okay Ilgaz Dogusoy Abstract Background In this study we aimed to evaluate the long-term outcome of diaphragmatic plication for symptomatic unilateral diaphragm paralysis. Methods Thirteen patients who underwent unilateral diaphragmatic plication 2 patients had right 11 left plication between January 2003 and December 2006 were evaluated. One patient died postoperatively due to sepsis. The remaining 12 patients 9 males 3 females mean age 60 36-66 years were reevaluated with chest radiography flouroscopy or ultrasonography pulmonary function tests computed tomography CT or magnetic resonance imaging MRI and the MRC ATS dyspnea score at an average of 4-7 years after diaphragmatic plication. Results The etiology of paralysis was trauma 9 patients cardiac by pass surgery 3 patients and idiopathic 1 patient . The principle symptom was progressive dyspnea with a mean duration of 22-60 months before surgery. All patients had an elevated hemidiaphragm and paradoxical movement radiologically prior to surgery. There were partial atelectasis and reccurent infection of the lower lobe in the affected side on CT in 9 patients. Atelectasis was completely improved in 9 patients after plication. Preoperative spirometry showed a clear restrictive pattern. Mean preoperative FVC was and FEV1 . FVC and FEV1 improved by p and p at late follow-up. MRC ATS dyspnea scores improved 3 points in 11 patients and 1 point in 1 patient at long-term p . Eight patients had returned to work at 3 months after surgery. Conclusions Diaphragmatic plication for unilateral diaphragm paralysis decreases lung .