Grillo Hermes C, Wright Cameron D, Dartevelle Philippe G, Wain John C, Murakami Shinya
Division of General Thoracic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Ann Thorac Surg. 2005 Dec;80(6):2057-62. doi: 10.1016/j.athoracsur.2005.05.026.
Straight back syndrome and other causes of extreme narrowing of the space between sternal notch and vertebrae can cause critical tracheal obstruction. Additional points of compression may result from the brachiocephalic artery and from anterior vertebral displacement.
Individualized surgical maneuvers are necessary to correct all points of obstruction. Techniques include sternoplasty, sternal division, reimplantation of brachiocephalic artery, correction of severe pectus excavatum, and posterior wall tracheoplasty.
Four patients were successfully treated by individualized techniques with complete long-term relief of critical tracheal obstruction.
Severe tracheal compression caused by straight back syndrome and other causes of narrowed sternospinal channel is surgically correctable.
直背综合征及其他导致胸骨切迹与椎体间间隙极度狭窄的原因可引起严重气管梗阻。头臂动脉及椎体前移可能导致额外的压迫点。
需采用个体化手术操作来纠正所有梗阻点。技术包括胸骨成形术、胸骨切开术、头臂动脉再植术、重度漏斗胸矫正术及气管后壁成形术。
4例患者通过个体化技术得到成功治疗，长期完全缓解了严重气管梗阻。
直背综合征及其他导致胸骨脊柱通道狭窄的原因所引起的严重气管压迫可通过手术矫正。
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