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[1]邹济华,梁 翔,段德溥,等.改良胸骨翻转术矫治成年人漏斗胸 (附19例报告)[J].医学研究与战创伤救治(原医学研究生学报),2008,10(05):337.
　ZOU Ji-hua,LIANG Xiang,DUAN De-pu,et al.Modified sternal turnover operation for pectus excavatum in adult[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2008,10(05):337.
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改良胸骨翻转术矫治成年人漏斗胸 (附19例报告)()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第10卷
期数:
2008年05期
页码:
337
栏目:
出版日期:
2008-09-20

文章信息/Info

Title:
Modified sternal turnover operation for pectus excavatum in adult
文章编号:
1672-271X(2008)05-0337-03
作者:
邹济华1; 梁 翔1; 段德溥1; 孙德魁2; 吴松昌2
1.解放军第455医院胸心外科，上海 200052；2.上海胸科医院胸外科，上海 200052
Author(s):
ZOU Ji-hua1; LIANG Xiang1;  DUAN De-pu1;  SUN De-kui2;  WU Song-chang2
1.Department of Cardiovascular Surgery, the 455th Hospital of PLA, Shanghai 200052, China;2 Department of Cardiovascular Surgery, Shanghai Chest Hospital, Shanghai 200052, China
关键词:
漏斗胸; 成年人; 胸外科; 胸骨翻转术
Keywords:
Pectus excavatum; Adult; Thoracic surgery; Sternal turnover operation
分类号:
R655.1
DOI:
-
文献标志码:
A
摘要:
目的 总结改良胸骨翻转术治疗成年人漏斗胸的手术效果和经验。方法 先天性成年人漏斗胸19例，漏斗胸系数在0.25~0.3之间。11例患者应用游离胸骨翻转术矫治，8例行带腹直肌蒂胸骨翻转术。结果 19例患者术后胸壁外观及患者的自觉症状均满意。随访1～5年, 胸廓外形均呈正常平坦,心脏复位,活动耐量改善。结论 采用游离胸骨翻转术与带血管蒂胸骨翻转术矫治成年人漏斗胸仍是比较安全、可靠的手术方法，但后者操作复杂、费时。
Abstract:
Objective To analyze the surgical data of adult patients with pectus excavatum treated by modified sternal turnover operation.Methods 19 patients with pectus excavatum including 17 male and 2 female were studied. Their mean age at operation was 19.5 years (range 18~22) and the index (F1) was between 0.25 and 0.3. Sternal turnover operation was performed in 11 cases, and Sternal turnover with pedicle of abdominal rectus muscle in another 8 cases. Results All the patients had markedly postoperative improvement in thoracic configuration .The postoperative follow up was ranging from 1 to 5 years. No recurrence was occurred. The patients had normal shape or mild flat of the chest and an increase in exercise tolerance. The heart returned to its normal site.Conclusion Sternal turnover operation and Sternal turnover with pedicle of abdominal rectus muscle for Pectus excavatum in adult are safe. But the later operating is complex and time-consuming.

参考文献/References:

[1]相马智,武藤辉一.标准外科学[M].3版.东京:医学书部,1976:247-248.
[2]陈文虎.胸外科特色治疗技术[M].北京:科学技术文献出版社,2004:220-227.
[3]李爱武，张文同，陈雨历.漏斗胸的治疗现状与进展[J].临床小儿外科杂志，2002，1(3):203-206.
[4]吴松昌.胸壁畸形.胸心外科手术学[Ｍ]．2版.北京:人民卫生出版社,1993:241-248.
[5]Haller JA ,Colomban PM,Humphries Ｔ,et al .Chest wall constriction after too extensive and too early operation for pectus excavatum[J].Ann Thorac Surg,1996，61 (6): 1618-1625.
[6]Judet J,Judet R. Funnel chest ;operation procedure[J]. Rev Chir Orthop Reparatrice Appar Mot,1954,40 (2):248-257.
[7]杨东元,保阪善昭,原口和久，等.日本和欧美漏斗胸诊疗进展[J].中华整形外科杂志，2003，19(2):142-143.
[8]李 火斤，陈张根，贾 兵，等.改良胸骨翻转术治疗小儿先天性漏斗胸20年经验[J].中华小儿外科杂志，2005，26(8):401-403.

相似文献/References:

[1]罗立国,景华,胡小南,等.非胸腔镜辅助的Nuss手术治疗小儿漏斗胸[J].医学研究与战创伤救治(原医学研究生学报),2010,12(06):500.
　LUO Li-guo,JING Hua,HU Xiao-nan,et al.Nuss procedure without thoracoscopy-assisted for the correction of pectus excavatum in children[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(05):500.
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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-11-22