不适用于支具治疗的鸡胸患者的微创修复
Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy.
作者信息
Suh Jee-Won, Joo Seok, Lee Geun Dong, Haam Seok Jin, Lee Sungsoo
机构信息
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine.
出版信息
Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):92-8. doi: 10.5090/kjtcs.2016.49.2.92. Epub 2016 Apr 5.
BACKGROUND
We used an Abramson technique for minimally invasive repair of pectus carinatum in patients who preferred surgery to brace therapy, had been unsuccessfully treated via brace therapy, or were unsuitable for brace therapy because of a rigid chest wall.
METHODS
Between July 2011 and May 2015, 16 patients with pectus carinatum underwent minimally invasive surgery.
RESULTS
The mean age of the patients was 24.35±13.20 years (range, 14-57 years), and all patients were male. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The preoperative and postoperative Haller Index values were 2.01±0.19 (range, 1.60-2.31), and 2.22±0.19 (range, 1.87-2.50), respectively (p-value=0.01), and the median hospital stay was 7.09±2.91 days (range, 5-15 days). Only one patient experienced postoperative complications.
CONCLUSION
Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.
背景
对于那些更倾向于手术治疗而非支具治疗、支具治疗失败或因胸壁僵硬而不适合支具治疗的鸡胸患者，我们采用了 Abramson 技术进行微创修复。
方法
2011 年 7 月至 2015 年 5 月期间，16 例鸡胸患者接受了微创手术。
结果
患者的平均年龄为 24.35±13.20 岁（范围 14 - 57 岁），所有患者均为男性。患者评定的美学效果优秀率为 37.5%，良好率为 56.25%。术前和术后的 Haller 指数值分别为 2.01±0.19（范围 1.60 - 2.31）和 2.22±0.19（范围 1.87 - 2.50）（p 值 = 0.01），中位住院时间为 7.09±2.91 天（范围 5 - 15 天）。仅 1 例患者出现术后并发症。
结论
微创修复对于鸡胸的治疗是有效的，即使在成年患者中也是如此。
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