Sbokos C G, McMillan I K, Akins C W
Thorax. 1975 Feb;30(1):40-5. doi: 10.1136/thx.30.1.40.
Pectus excavatum is a progressive congenital deformity for which surgical correction is an established procedure. The method of correction using a stainless steel retrosternal bar to maintain the sternum elevated is, in our experience, the most successful procedure. Successful surgical correction usually requires resection of all deformed costal cartilages with transverse osteotomy of the anterior table of the sternum and internal fixation using a bar anterior to the rib cage but behind the sternum. In the last 13 years 118 patients with this deformity have been evaluated and 72 patients have been surgically corrected by the described procedure. Of these 72 patients, 65 (90 percent) have had excellent or good cosmetic and functional results. The best results were obtained when the child was operated on between the ages of 6 and 10 years, the poorest results in those operated on under the age of 3 or over the age of 20. For a satisfactory result the bar must be left in for at least six months; the best results were obtained in those patients in whom the bar was left in for at least one year. No serious complications have followed the use of this technique.
漏斗胸是一种进行性先天性畸形，手术矫正已是一种成熟的治疗方法。根据我们的经验，使用不锈钢胸骨后支撑条来抬高胸骨的矫正方法是最成功的术式。成功的手术矫正通常需要切除所有畸形的肋软骨，对胸骨前板进行横向截骨，并使用位于胸廓前方但在胸骨后方的支撑条进行内固定。在过去13年里，对118例患有这种畸形的患者进行了评估，其中72例患者通过上述手术进行了矫正。在这72例患者中，65例（90%）获得了良好或极佳的美容和功能效果。孩子在6至10岁之间接受手术时效果最佳，3岁以下或20岁以上接受手术的患者效果最差。为了获得满意的效果，支撑条必须留置至少6个月；支撑条留置至少1年的患者效果最佳。使用这种技术没有出现严重并发症。
