摘要
目的 总结漏斗胸及扁平胸施行腹直肌蒂胸骨翻转术 (STO -RMP)及胸骨重叠术的治疗经验和体会。方法 1983年 9月至 1997年 7月为 33例漏斗胸病人施行STO RMP ,并对 7例同时伴扁平胸的病人施行胸骨重叠术。年龄 2 5～ 34岁 (中位数 6 0岁 ) ;漏斗胸指数 (F2 I) 0 2 7～ 0 77(中位数值0 33) ;非对称性漏斗胸者 11例 ,伴其它部位先天畸形者 9例。对重症漏斗胸加施胸骨纵行楔形切骨。结果 全部病例术后均得到随访 ,10年以上者 10例、5年以上者 2 1例 ,均取得满意矫形效果。结论 对中度及重度漏斗胸 ,尤其是非对称性者或扁平胸 ,STO
Objective To review the surgical experience of sternal turnover with rectus muscle pedicle (STO-RMP) and sternal overlapping suture in the treatment of funnel chest and flat chest. Method From 1983 to 1997, 33 patients with funnel chest underwent sternal turnover with rectus muscle pedicle. 7 of 33 patients associated with flat chest were treated with sternal overlapping suture and STO-RMP. The patients' age ranged from 2 5 to 34 years (median, 6years). F2I was 0 2-0 77 (median, 0 33). 11patients had asymmetric funnel chest, and 9 in associated with deformity of other organs. The sternal longitudinal wedge osteotomy was performed after sternal turnover on severe funnel chest. Result There was no operative death and severe complication. 31 patients were followed up 5 to 10 years. The long-term result of surgery is satisfactory. Conclusion The method of sternal turnover with rectus muscle pedicle is the choice for moderate and severe funnel chest, especially for asymmetric funnel chest and flat chest.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2000年第1期30-31,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
漏斗胸
扁平胸
胸骨重叠术
STO-RMP术
Funnel chest Flat chest Rectus muscle pedicle sternal turnover Overlapping suture
