摘要
目的报告并总结一种治疗漏斗胸的微创新术式的效果.方法2002年6月～2005年4月,47例2～18岁的漏斗胸患儿在四川大学华西医院小儿外科采用胸壁小切口,不作胸壁的广泛游离及不作多对肋软骨切除,经最凹陷处置入一金属支杠于胸骨下端深面的方法手术矫正漏斗胸.结果47例患儿在手术完成时即获满意的矫正效果,手术安全无并发症.42例随访时间3～35个月,其中38例在随访期内获得满意的胸廓外观,患儿运动耐受量及心理状况也有明显改善.另外4例患儿的畸形,也较术前改善.结论采用微创的新术式治疗漏斗胸患儿效果满意,安全可靠,瘢痕小,无严重并发症.
Objective To introduce a minimally invasive procedure for correction of pectus excavatum in children. Methods Forty-seven children with pectus excavatum underwent a new minimally invasive correction procedure in the Department of Pediatric Surgery, West China Hospital of Sichuan University between June 2002 and April 201）5. Results The cosmetic results of 47 children with pectus excavatum corrected with the new minimally invasive procedure were satisfactory at the completion of the operations. Forty- two of 47 cases were followed up for 3 to 35 months. Among them 38 had perfect thoracic appearance with increased exercise tolerance and improved psychological status. Four of 42 children had various degrees of recurrence but the thoracic appearances were better than before.Conclusions The minimally invasive procedure for correction of pectus excavatum is safe. There was no severe complication.
出处
《中华小儿外科杂志》
CSCD
北大核心
2005年第8期407-409,共3页
Chinese Journal of Pediatric Surgery
