摘要
目的：探讨小儿鸡胸的手术时机及手术方法。方法：将１９８２年２月至１９９７年２月收治的１０２例鸡胸病儿按骨骼特点分为４型，并设计相应的手术方法。随访３个月至１０年，对不同类型及不同年龄鸡胸手术的预后进行分析。结果：Ｉ型（胸骨弓状前凸型）手术效果最佳，其次为Ｉ型（非对称型）和ＩＩ型（胸骨柄前凸型），ＩＶ型（胸骨抬举型）较差。应用方差分析结果显示，３～５岁组与６～１５岁组手术满意程度无明显差异，延长随访时间两组手术满意程度也未见明显差异。结论：所有先天性和后天性鸡胸，外观畸形较重，对心肺功能有影响者，３岁以后均可手术治疗，其矫形术应根据不同骨骼特点设计不同手术方案。
Aim:To review the experience of surgical treatment of pectus carinatum in children.Clinical material and method:102 patients with pectus carinatum underwent surgical correction from Feb.1982 to Feb.1997.According to their skeletal characters the patients were divided into four types and received different surgical procedures.The patients were followed up for three months to ten years.Analysis was made for the prognosis of different types and different age groups.Results:After surgery,the type 1(symmetrical arched protrusion of the sternum) had excellent result,the type 2(asymmetrical pectus carinatum) and the type 3(chondromanubrial prominence) had good result.These three types have better result than the type 4(elevated pectus carinatum).With square test there was no difference of satisfaction with operation between the 3～5 years old group and the 6～15 years old group.There was also no difference between the two age groups during follow up.Conclusion:Surgery is indicated and will achieve good results for patients with pectus carinatum,particularly for those older than 3 years old,with cardiac and pulmonary functions severely affected.Various surgical corrections should be performed according to the skeletal character.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1999年第4期225-227,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
