Naef A P, Gadeh M
Schweiz Med Wochenschr. 1975 Jun 7;105(23):737-41.
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.
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。