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[漏斗胸的外科治疗。90例手术经验]

[Surgical treatment of funnel chest. Surgical experience with 90 cases].

作者信息

Naef A P, Gadeh M

出版信息

Schweiz Med Wochenschr. 1975 Jun 7;105(23):737-41.

PMID:1215872
Abstract

Funnel chest, a congenital hereditary deformity, may lead to impairment of cardio-pulmonary function. The predominant motives for operation are psychological and cosmetic. Minor deformities amenable to physiotherapy should not be operated on, but moderately severe one represent a justified surgical indication. Objective photographic documentation is essential. Because of their bearing on surgical technic and results the symmetrical, asymmetrical, localized and extensive deformities should be distinguished. 90 operations have been performed between 1951 and 1974 according to the different known technics published during that period. Results were irregular until the introduction, eight years ago, of an operation combining extensive resection, by the method of RAVITCH, and stabilization by a metal strut as recommended by ADKINS et al. 24 operations performed during the last eight years have afforded perfect long term results.

摘要

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。适合物理治疗的轻度畸形不应进行手术,但中度严重的畸形则是合理的手术指征。客观的摄影记录至关重要。由于其对手术技术和结果的影响,应区分对称、不对称、局部和广泛的畸形。1951年至1974年间,根据该时期发表的不同已知技术进行了90例手术。在八年前引入一种结合广泛切除(采用拉维奇方法)和用金属支柱稳定(如阿德金斯等人所建议)的手术之前,结果并不理想。过去八年中进行的24例手术取得了完美的长期效果。

相似文献

1
[Surgical treatment of funnel chest. Surgical experience with 90 cases].[漏斗胸的外科治疗。90例手术经验]
Schweiz Med Wochenschr. 1975 Jun 7;105(23):737-41.
2
The surgical treatment of pectus excavatum: an experience with 90 operations.漏斗胸的外科治疗:90例手术经验
Ann Thorac Surg. 1976 Jan;21(1):63-6. doi: 10.1016/s0003-4975(10)64890-4.
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[Indications and surgical technic for the correction of funnel chest and its results].[漏斗胸矫正的适应症、手术技术及其结果]
Chirurg. 1975 Jul;46(7):323-8.
4
The changing trend in surgical reconstruction of pectus excavatum.
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[Congenital deformities of the chest wall. Surgical treatment].[胸壁先天性畸形。外科治疗]
Minerva Pediatr. 1997 Sep;49(9):407-13.
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[Surgical repair of pectus excavatum by internal metal strut fixation. Clinical experience in 51 cases].
Minerva Chir. 2000 Dec;55(12):835-40.
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[Funnel chest operation and age (author's transl)].漏斗胸手术与年龄(作者译)
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[Indication and operative technique in chest deformities (author's transl)].胸部畸形的适应症与手术技术(作者译)
Z Kinderchir. 1981 Jul;33(3):244-52. doi: 10.1055/s-2008-1063126.
9
[Psychological and cosmetic indications for the surgery of funnel chest].[漏斗胸手术的心理和美容指征]
Z Kinderchir. 1987 Oct;42(5):286-90. doi: 10.1055/s-2008-1075604.
10
Pectus excavatum. Late results with and without operation.漏斗胸。手术与非手术治疗的远期结果。
J Thorac Cardiovasc Surg. 1980 Nov;80(5):686-95.