Zhang X G
Zhonghua Wai Ke Za Zhi. 1989 May;27(5):282-3, 317.
This article reports the experience of using a modified sternal turnover technique in 4 patients with pectus excavatum in which one or both internal mammary vascular pedicles were preserved to assure viability of the sternum and costal cartilages in the everted position. At operation special care was taken in dissecting the mammary vessels which were freed en bloc with the protecting fatty tissue. The internal mammary vessels were carefully dissected upward and downward each for 5 cm and the funnel shaped sternum was turned over for 180 degrees with care being exercised not to injure the blood vessels. We recommend this technique the first choice for the repair of pectus excavatum.
本文报道了4例漏斗胸患者采用改良胸骨翻转技术的经验，术中保留一侧或双侧胸廓内血管蒂，以确保翻转后的胸骨和肋软骨的血供。手术时，特别注意解剖胸廓内血管，将其与周围脂肪组织一起整块游离。胸廓内血管仔细向上、下各游离5cm，将漏斗状胸骨小心翻转180度，避免损伤血管。我们推荐该技术作为漏斗胸修复的首选方法。
