改良手术方法重建鸡胸胸壁的疗效观察  

THE OUTCOME OF MODIFIED PROCEDURE FOR PECTUS CARINATUM CORRECTION

作　　者：徐志诚[1] 胡廷泽[1] 刘文英[1] 蒋小平[1] 张利兵[1] 罗启成[1] 唐耘熳[1] 

机构地区：[1]四川大学华西医院小儿外科

出　　处：《中国修复重建外科杂志》2005年第4期304-305,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　改进鸡胸的手术治疗方法。　方法　1990年～2 0 0 3年收治鸡胸患者9例,年龄3岁6个月～16岁。采用传统手术方法治疗4例改进的手术方法治疗5例。改进的手术操作包括:1不缝合缩短肋骨床;2用金属支架固定矫正位置后的胸骨。　结果　用传统方法治疗的4例随访1～5年,其中1例术后5年发生肋骨下陷、演变成漏斗胸;用改进方法治疗的5例随访2～4年,重建的胸廓双侧对称,胸骨及肋软骨无凸出或凹陷,外形满意。　结论　改进的手术方法是有效而合理的,较传统方法疗效更佳。Objective To improve the surgical procedure to correct pectus carinatum. Methods From 1990 to 2003, 9 patients with pectus carinatum were treated, whose ages ranged from 3 years and 6 months to 16 years. The conventional operation was performed on 4 patients, the modified procedure on 5 patients. The modified procedure included: ①the shortening rib periosteum was not sutured transversally;② the corrected position of the sternum was stabilized with the metal strut. Results In 4 patients corrected by the conventional procedure, the sternum depression as pectus excavatum occurred in 1 case five years postoperatively. The results were satisfactory in 5 patients corrected by the modified procedure. The reconstructed thorax was symmetrical, without bulging or dimpling of sternum and costal cartilage. Conclusion The improvement of operative method is reasonable and effective in correcting pectus carinatum.

关 键 词：改良手术方法 疗效观察 鸡胸 重建 胸壁 手术治疗方法 传统方法治疗 2003年 1990年 手术操作 支架固定 改进方法 不缝合 漏斗胸 肋软骨 肋骨 胸骨 随访 

分 类 号：R655[医药卫生—外科学]