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[先天性漏斗胸治疗的当前进展]

[Current development in therapy of congenital funnel chest].

作者信息

Ji Kai, Luan Jie

机构信息

Department of Breast Plastic and Reconstructive Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Dec;26(12):1516-8.

PMID:23316649
Abstract

OBJECTIVE

To review the current development in therapy of congenital funnel chest.

METHODS

Recent literature concerning the development of the treatment method for congenital funnel chest was extensively reviewed and summarized.

RESULTS

The main therapies for congenital funnel chest are thoracoplasty (Ravitch sternum elevation procedure and minimal invasive Nuss procedure) and prosthesis implantation. The magnetic mini-mover procedure and the vacuum bell are still in the research phase.

CONCLUSION

Besides the improvement in function, the requirement in appearance after surgery is also improved in the treatment of congenital funnel chest. The minimally invasive surgery and non-invasive procedures could be expected in the future.

摘要

目的

回顾先天性漏斗胸治疗的当前进展。

方法

广泛查阅并总结近期有关先天性漏斗胸治疗方法进展的文献。

结果

先天性漏斗胸的主要治疗方法为胸廓成形术(如Ravitch胸骨抬高术和微创Nuss手术)及假体植入。磁性微型移动器手术和真空吸盘仍处于研究阶段。

结论

在先天性漏斗胸的治疗中,除功能改善外,术后外观的要求也得到了提高。未来有望实现微创手术和非侵入性手术。

相似文献

1
[Current development in therapy of congenital funnel chest].[先天性漏斗胸治疗的当前进展]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Dec;26(12):1516-8.
2
Magnetic mini-mover procedure for pectus excavatum II: initial findings of a Food and Drug Administration-sponsored trial.磁体微型移植物治疗漏斗胸 II 型:食品和药物管理局资助试验的初步结果。
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Magnetic Mini-Mover Procedure for pectus excavatum: I. Development, design, and simulations for feasibility and safety.漏斗胸的磁性微型移动器手术:I. 可行性和安全性的开发、设计与模拟
J Pediatr Surg. 2007 Jan;42(1):81-5; discussion 85-6. doi: 10.1016/j.jpedsurg.2006.09.042.
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A novel approach to eliminate cardiac perforation in the nuss procedure.一种用于消除漏斗胸矫正术中心脏穿孔的新方法。
Ann Thorac Surg. 2013 Mar;95(3):1109-11. doi: 10.1016/j.athoracsur.2012.10.016.
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[Modified Ravitch operation in the treatment of patients with funnel chest].[改良Ravitch手术治疗漏斗胸患者]
Chir Narzadow Ruchu Ortop Pol. 1989;54(4-6):329-34.
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Anatomical study of the thorax for the safe performance of the Nuss procedure for pectus excavatum.
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Chest wall deformities in pediatric surgery.小儿外科学中的胸廓畸形。
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Pectus excavatum repair after sternotomy: the Chest Wall International Group experience with substernal Nuss bars.胸骨凹陷修复术后:胸骨下入路 Nuss 棒的胸壁国际集团经验。
Eur J Cardiothorac Surg. 2017 Oct 1;52(4):710-717. doi: 10.1093/ejcts/ezx221.
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Sternal elevation techniques during the minimally invasive repair of pectus excavatum.漏斗胸微创修复术中的胸骨抬高技术
Interact Cardiovasc Thorac Surg. 2019 Oct 1;29(4):497-502. doi: 10.1093/icvts/ivz142.
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The vacuum bell for treatment of pectus excavatum: an alternative to surgical correction?用于治疗漏斗胸的负压钟罩:手术矫正的替代方法?
Eur J Cardiothorac Surg. 2006 Apr;29(4):557-61. doi: 10.1016/j.ejcts.2006.01.025. Epub 2006 Feb 13.

引用本文的文献

1
Effects of NUSS surgery on degree of flat thoracic cage, cardiopulmonary function, and bone metabolism in pectus excavatum patients of different ages.NUSS手术对不同年龄漏斗胸患者胸廓扁平程度、心肺功能及骨代谢的影响
Updates Surg. 2025 Apr;77(2):549-557. doi: 10.1007/s13304-024-02030-y. Epub 2024 Dec 6.
2
20 years clinical application of the vacuum bell for conservative treatment of pectus excavatum-past, present, future.真空吸盘用于漏斗胸保守治疗的20年临床应用——过去、现在与未来
J Thorac Dis. 2024 Aug 31;16(8):5285-5298. doi: 10.21037/jtd-23-408. Epub 2024 Aug 15.