摘要
目的探讨胸骨吊牵术治疗小儿漏斗胸的方法和疗效。方法1990年9月～2006年12月我院收治217例漏斗胸患儿,平均年龄2.3±0.8岁(1.5～5岁);胸骨下端凹陷范围在5～10cm×5～10cm,凹陷深度在1.5～4cm,均于气管插管和静脉复合麻醉下,于前胸部做纵形小切口,应用自行研制的胸骨吊牵架悬吊胸骨。结果217例患儿中,治愈212例(97.5%),好转5例(2.5%),治愈患儿的心肺功能达到正常,易患症状消失。结论采用胸骨悬吊术治疗小儿漏斗胸操作简单,创伤小,经济实用,能明显改善小儿漏斗胸症状。以3岁前手术为佳。
Objective To investigate the method and curative effect of sternal suspensory traction on the patients with pectus excavatum. Methods From Sep 1990 to Dec 2006, all 217 patients with pectus excavatum underwent orthotic surgery. The mean age was 2.3 ± 0.8 years. Using compound venous anaesthesia and tracheal intubation, the sternum was fixed by the homemade sternal suspensory and tractive apparatus with a small vertical prothoracic incision. Results Among 217 patients, 212 were cured （97.5%）, 5 were partially improved （2.5%）, without uncured case. The cardiopulmonary function of the cured patients were norreal, the complications disappeared. Conclusions Orthesis of pectus excavatum with sternal suspensory traction is economical and easy operation with minor operative trauma. It provides both physical and psychological benefits. The suitable operative age is under 3 years old.
出处
《临床小儿外科杂志》
CAS
2007年第1期29-30,共2页
Journal of Clinical Pediatric Surgery
基金
天津市科学技术成果(编号97575)
关键词
漏斗胸
胸骨
吊牵
Pectus excavatum
Sternum Suspensory traction
