Division of Cardiothoracic Surgery, Mayo Clinic Arizona, Scottsdale, AZ 85054, USA.
J Am Board Fam Med. 2010 Mar-Apr;23(2):230-9. doi: 10.3122/jabfm.2010.02.090234.
Pectus excavatum (PE) is a posterior depression of the sternum and adjacent costal cartilages and is frequently seen by primary care providers. PE accounts for >90% of congenital chest wall deformities. Patients with PE are often dismissed by physicians as having an inconsequential problem; however, it can be more than a cosmetic deformity. Severe cases can cause cardiopulmonary impairment and physiologic limitations. Evidence continues to present that these physiologic impairments may worsen as the patient ages. Data reports improved cardiopulmonary function after repair and marked improvement in psychosocial function. More recent consensus by both the pediatric and thoracic surgical communities validates surgical repair of the significant PE and contradicts arguments that repair is primarily cosmetic. We performed a review of the current literature and treatment recommendations for patients with PE deformities.
漏斗胸（PE）是胸骨和相邻肋软骨的后向凹陷，经常被初级保健提供者发现。PE 占先天性胸壁畸形的>90%。患有 PE 的患者经常被医生认为是无关紧要的问题；然而，它可能不仅仅是一种美容畸形。严重的病例可导致心肺功能障碍和生理限制。不断有证据表明，随着患者年龄的增长，这些生理障碍可能会恶化。修复后心肺功能改善的数据报告和心理社会功能的显著改善。儿科和胸外科两个领域的最新共识证实了对严重 PE 的手术修复，并反驳了修复主要是美容性的观点。我们对目前关于 PE 畸形患者的文献进行了回顾，并提出了治疗建议。
