改良带腹直肌蒂胸骨翻转术治疗小儿漏斗胸  

Modified sternal turnover with pedicle of abdominal rectus muscle for pectus excavatum

作　　者：高炜[1] 张世范[1] 张德海[1] 刘惠萍[1] 李乃斌[1] 

机构地区：[1]兰州军区总医院胸心外科,730050

出　　处：《中华外科杂志》2000年第12期906-907,共2页Chinese Journal of Surgery

摘　　要：目的　探讨小儿漏斗胸的手术治疗方法。　方法　 1987年以来采用改良带腹直肌蒂胸骨翻转术 ,对 2 0例小儿漏斗胸患者进行手术治疗。　结果　 2 0例漏斗胸患者矫正均满意 ,经 6～36个月随访无复发。其中术前行骨质密度检测的患者 ,手术后 6个月复查 ,检测值与术前相同。　结论　改良带腹直肌蒂胸骨翻转术具有操作简便、出血少、胸肋片血运好、术后恢复快、凹陷畸形矫正满意、无复发等优点 ,值得在临床上推广。Objective[WT5”BZ] To assess surgical correction for children with pectus excavatum. [WT5”HZ]Method[WT5”BZ] Modified sternal turnover operation with rectus abdominalis pedicle was performed on 20 children with pectus excavatum since 1987. [WT5”HZ]Results[WT5”BZ] The patients were successfally corrected and no recurrence was seen during 6 to 36 months after operation. Human bone density examination showed same results in some patients before and six months after operation. [WT5”HZ]Conclusion[WT5”BZ] Modified sternal turnover operation has the following advantages:easy to operate; less bleeding; better blood supply to the turned sternum; rapid postoperative recovery; satisfied correction of deformity and norecurrence. It should be widely used clinicaly. [WT5”HZ]

关 键 词：儿童 漏斗胸 带腹直肌蒂胸骨翻转术 

分 类 号：R726.5[医药卫生—儿科]