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[漏斗胸矫正的适应症、手术技术及其结果]

[Indications and surgical technic for the correction of funnel chest and its results].

作者信息

Willital G H, Bürger L

出版信息

Chirurg. 1975 Jul;46(7):323-8.

PMID:1201678
Abstract

Treatment of funnel chest is only successful by surgical means. 425 funnel chest operations have been performed between 1956 and 1974 at the Surgical and Paediatric Surgical Department of the University Erlangen-Nürnberg. Different types of operative procedures have been compared with each other. The internal fixation of the elevated funnel chest with a metal strut is an operative procedure with the lowest infection rate, with less recurrences and the best anatomical and cosmetic results. The surgical procedure involves a double incision of the ribs parasternally and at the borderline of the funnel, the mobilised ventral part of the chest is elevated by a metal strut to an anatomically normal position. 235 patients have been operated on by this method. In 7% a local wound infection occured, there was one total recurrence and 15 partial recurrences. 4 years after operation 75% of the patients had an anatomically normal and well developed chest with an excellent cosmetic result.

摘要

漏斗胸的治疗仅通过手术方式才能成功。1956年至1974年间,埃尔朗根 - 纽伦堡大学外科及小儿外科进行了425例漏斗胸手术。对不同类型的手术方法进行了相互比较。用金属支柱对抬高的漏斗胸进行内固定是一种感染率最低、复发较少且解剖和美容效果最佳的手术方法。手术过程包括在胸骨旁和漏斗边缘处对肋骨进行双切口,通过金属支柱将胸部活动的腹侧部分抬高至解剖学上的正常位置。235例患者采用此方法进行了手术。7%的患者发生了局部伤口感染,有1例完全复发和15例部分复发。术后4年,75%的患者胸部解剖结构正常且发育良好,美容效果极佳。

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1
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