Clausner A, Clausner G, Basche M, Blumentritt S, Layher F, Vogt L
Kinderchirurgische Abteilung, Friedrich-Schiller-Universität Jena.
Eur J Pediatr Surg. 1991 Oct;1(5):291-7. doi: 10.1055/s-2008-1042508.
Patients with chest wall deformities have many particular anatomical, physiological, genetic, biomechanical and psychological characteristics. It is generally recognized that surgical correction of funnel chest and pigeon breast may be done for psychosocial reasons alone. Morphological and dynamic investigations are done to identify the function of the deformed chest wall and to permit objective assessment of the cosmetic and functional outcomes of the operation. There is no universally agreed standard for the diagnosis of funnel chest and pigeon breast. Non-invasive investigations, such as computed tomography (CT), echocardiography (ECG) and stereophotogrammetry (SP), improve the quality of the diagnostic assessment, including evaluation of its functional aspects, without directly influencing the decision to operate, which is still made mainly on subjective grounds. The value of these techniques in the diagnosis of chest wall deformities is assessed and the results of our personal experience are presented.
胸壁畸形患者具有许多独特的解剖学、生理学、遗传学、生物力学和心理学特征。一般认为，漏斗胸和鸡胸的手术矫正可能仅出于心理社会原因进行。进行形态学和动态研究以确定畸形胸壁的功能，并对手术的美容和功能结果进行客观评估。对于漏斗胸和鸡胸的诊断，目前尚无普遍认可的标准。计算机断层扫描（CT）、超声心动图（ECG）和立体摄影测量（SP）等非侵入性检查提高了诊断评估的质量，包括对其功能方面的评估，而不会直接影响手术决策，手术决策仍主要基于主观因素。评估了这些技术在胸壁畸形诊断中的价值，并展示了我们个人经验的结果。
