摘要
目的 矫正脊柱侧弯患儿的肋骨剃刀背畸形。方法 在实行后路脊柱侧弯矫形及脊柱融合术时 ,采用凸侧多节短段肋骨切除术同时矫治剃刀背及术后佩带矫形石膏或支具背心 ,更为有利。结果 1997年 9月至 1999年 6月共有 49例脊柱侧弯患儿施行剃刀背矫形术 ,未发生气胸、胸膜破裂等并发症 ,有 3例患儿遗有残余剃刀背 ,其余患儿矫形效果均满意。结论 多节短段肋骨切除术是一种简便有效、安全的方法。在矫形剃刀背的同时 ,还可提供脊柱融合的植骨材料 。
Objective In order to correct the rib prominence scoliosis in children .Methods From 1997 to 1999, 49 children with congenital scoliosis(27), idiopathic scoliosis(15), neurofibromatosis with scoliosis(6) and Marfan's syndrome with scoliosis(1) were treated. Rib resection was performed during the posterior spinal fusion on scoliosis, the spinal orthosis was applied postoperatively. Results No pneumothorax was happened postoperatively . All cases got satisfactory cosmetic appearance except 3 had residual rib prominence. Conclusions Multiple short segment costectomy is a safe and effective technique for the rib deformity in children with scoliosis. The resected ribs could provide the bone grafting for spinal fusion.
出处
《中华小儿外科杂志》
CSCD
北大核心
2001年第1期36-37,共2页
Chinese Journal of Pediatric Surgery
