Bentz M L, Futrell J W
Division of Plastic and Reconstructive Surgery, University of Pittsburgh School of Medicine.
Br J Plast Surg. 1992 Jul;45(5):367-70. doi: 10.1016/0007-1226(92)90006-j.
Pectus excavatum, the most common congenital chest wall abnormality, is manifested by deformity of the costal cartilages resulting in a depressed and often rotated sternum. Although there are conflicting data to support and reject the concept that physiologic improvement can be a consequence of surgical repair, correction is frequently indicated for aesthetic improvement alone. The most popular current repair involves resection of abnormal costal cartilages, sternal osteotomy and mobilisation, followed by fixation of the sternum in the corrected position. Improved fixation techniques have evolved, but generally have not employed current concepts of rigid fixation. The correction of pectus excavatum using reconstruction plates incorporates the benefits of rigid fixation, while allowing custom chest wall contouring and sternal reorientation. Reconstruction plate fixation of the sternum should be considered during correction of pectus excavatum in adult and adolescent patients.
漏斗胸是最常见的先天性胸壁畸形，表现为肋软骨畸形，导致胸骨凹陷且常伴有旋转。尽管对于手术修复能否带来生理改善这一观点，存在相互矛盾的数据支持和反对，但通常仅出于美学改善的目的而进行矫正。目前最常用的修复方法包括切除异常肋软骨、胸骨截骨术和松动术，然后将胸骨固定在矫正位置。改进的固定技术不断发展，但一般未采用当前的坚强内固定概念。使用重建钢板矫正漏斗胸，既融合了坚强内固定的优点，又能实现个性化的胸壁塑形和胸骨重新定位。对于成年和青少年漏斗胸患者，在矫正过程中应考虑采用胸骨重建钢板固定。
