Pedersen Thais, Pilegaard Hans K
Arhus Universitetshospital, Skejby, Hjerte-lunge-karkirurgisk Afdeling T, Arhus N.
Ugeskr Laeger. 2008 Sep 1;170(36):2769-72.
Pectus carinatum (PC) is a protrusion of the sternum due to overgrowth of the costal cartilages. It can have considerable psychological and somatic impact on the patient. Many physicians are unaware of the beneficial effects and low comorbidity related to surgical correction and therefore erroneously advise patients against the operation.
We report the preliminary experience with 26 consecutive patients operated for PC at our Department between 1 April 2006 and 1 April 2007. Surgery was performed by a modified Ravitch and Welch technique. The mean age was 15 years (13-21), and 92% of the patients were boys.
We obtained excellent cosmetic results in the majority of patients (92%), no major complications, no major pain complaints and short hospital stays for all patients.
Patients who are psychologically or physically impaired by this deformity should be referred for surgical evaluation.
鸡胸是由于肋软骨过度生长导致的胸骨突出。它会对患者产生相当大的心理和身体影响。许多医生并不知晓手术矫正的益处以及低并发症发生率,因此错误地建议患者不要进行手术。
我们报告了2006年4月1日至2007年4月1日期间在我们科室连续26例接受鸡胸手术患者的初步经验。手术采用改良的拉维奇和韦尔奇技术。平均年龄为15岁(13 - 21岁),92%的患者为男性。
大多数患者(92%)获得了极佳的美容效果,无重大并发症,无严重疼痛主诉,所有患者住院时间短。
因这种畸形在心理或身体上受到影响的患者应转诊进行手术评估。