Naef A P
Ann Thorac Surg. 1976 Jan;21(1):63-6. doi: 10.1016/s0003-4975(10)64890-4.
Funnel chest, a congenital hereditary deformity, may lead to impairment of cardiopulmonary function. The predominant motives for operation are psychological and cosmetic. Patients with minor deformities amenable to physiotherapy should not be operated upon, but moderately severe defects justify surgical intervention. Objective photographic documentation is essential. Because of their importance to surgical technique and results, the symmetrical, asymmetrical, localized, and extensive deformities should be distinguished. Ninety operations were performed between 1951 and 1974 according to the various techniques known during that period. Results were irregular until the introduction eight years ago of an operation combining extensive resection according to Ravitch and stabilization by a metal strut as recommended by Adkins and others. Of 24 operations performed during the last eight years, 23 have given excellent long-term results.
漏斗胸是一种先天性遗传性畸形,可能导致心肺功能受损。手术的主要动机是心理和美容方面的。轻度畸形且适合物理治疗的患者不应接受手术,但中度严重缺陷则有理由进行手术干预。客观的照片记录至关重要。由于它们对手术技术和结果很重要,应区分对称、不对称、局部和广泛的畸形。1951年至1974年间,根据当时已知的各种技术进行了90例手术。在八年前引入一种结合了拉维奇广泛切除术和阿德金斯等人推荐的金属支柱稳定术的手术之前,结果并不理想。在过去八年中进行的24例手术中,23例取得了优异的长期效果。