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改良Ravitch手术治疗合并漏斗胸的左侧波兰综合征

Modified Ravitch Procedure for Left Poland Syndrome Combined With Pectus Excavatum.

作者信息

Cortés-Julián Gildardo, Bushra-Nuritu Hussein B, Buenfil-Fuentes Renata, Merino Rajme José A

机构信息

Pneumology and Thoracic Surgery Department, Centro Médico Nacional 20 de Noviembre del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico.

Pneumology and Thoracic Surgery Department, Centro Médico Nacional 20 de Noviembre del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico.

出版信息

Ann Thorac Surg. 2017 Oct;104(4):e337-e339. doi: 10.1016/j.athoracsur.2017.05.078.

DOI:10.1016/j.athoracsur.2017.05.078
PMID:28935331
Abstract

Poland Syndrome is a rare disease with an incidence of 1 in 30,000. This disease is characterized by agenesis of the pectoralis major, hypoplasia of mammarian tissue and the nipple complex, and limb abnormalities. The severe form of this disease can be associated with rib and sternal malformations like pectus excavatum. A 19-year-old man with severe Poland syndrome with cardiac extrasystoles and restrictive ventilation as shown by a spirometry test is presented. A total sternal reconstruction with partial osteotomies and bilateral resection of cartilage was performed. The sternum was stabilized with underlying titanium bars and clips. The cosmetic result was satisfactory.

摘要

波兰综合征是一种罕见疾病,发病率为三万分之一。该疾病的特征为胸大肌发育不全、乳腺组织和乳头复合体发育不全以及肢体异常。这种疾病的严重形式可能与肋骨和胸骨畸形有关,如漏斗胸。本文介绍了一名19岁患有严重波兰综合征的男性,伴有心脏早搏以及肺功能测试显示的限制性通气障碍。实施了全胸骨重建术,包括部分截骨术和双侧软骨切除术。用下方的钛棒和夹子固定胸骨。美容效果令人满意。

相似文献

1
Modified Ravitch Procedure for Left Poland Syndrome Combined With Pectus Excavatum.改良Ravitch手术治疗合并漏斗胸的左侧波兰综合征
Ann Thorac Surg. 2017 Oct;104(4):e337-e339. doi: 10.1016/j.athoracsur.2017.05.078.
2
Child pectus excavatum: correction by minimally invasive surgery.小儿漏斗胸:微创矫正。
Orthop Traumatol Surg Res. 2009 May;95(3):190-5. doi: 10.1016/j.otsr.2009.03.001. Epub 2009 Apr 18.
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An Evidence-Based Approach to Management of Pectus Excavatum and Carinatum.漏斗胸和鸡胸管理的循证方法
Ann Plast Surg. 2019 Mar;82(3):352-358. doi: 10.1097/SAP.0000000000001654.
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The use of sternal wedge osteotomy in pectus surgery: when is it necessary?胸骨楔形截骨术在漏斗胸手术中的应用:何时有必要?
Asian Cardiovasc Thorac Ann. 2016 Sep;24(7):658-62. doi: 10.1177/0218492316657243. Epub 2016 Jun 28.
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Open repair of pectus excavatum with minimal cartilage resection.采用最小限度软骨切除的漏斗胸开放修复术。
Ann Surg. 2004 Aug;240(2):231-5. doi: 10.1097/01.sla.0000133116.16484.bb.
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Reactive pectus carinatum in patients treated for pectus excavatum.漏斗胸治疗患者中的反应性鸡胸
J Pediatr Surg. 2008 Aug;43(8):1468-73. doi: 10.1016/j.jpedsurg.2007.11.019.
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Surgical repair of pectus excavatum not requiring exogenous implants in 113 patients.113 例无需外源性植入物的漏斗胸外科修复。
Eur J Cardiothorac Surg. 2010 Feb;37(2):316-21. doi: 10.1016/j.ejcts.2009.06.005. Epub 2009 Sep 17.
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[A 13-year-old male with a funnel chest treated by sternal elevation].
Kyobu Geka. 1998 Sep;51(10):835-8.
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Poland syndrome.波兰综合征
Semin Thorac Cardiovasc Surg. 2009 Spring;21(1):89-94. doi: 10.1053/j.semtcvs.2009.03.004.
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Combined Minimally Invasive Redo Mitral Surgery and Pectus Excavatum Correction.微创二尖瓣再次手术与漏斗胸矫正联合手术
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引用本文的文献

1
X-ray-free protocol for pectus deformities based on magnetic resonance imaging and a low-cost portable three-dimensional scanning device: a preliminary study.基于磁共振成像和低成本便携式三维扫描设备的无 X 射线鸡胸畸形检测方案:初步研究。
Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):110-118. doi: 10.1093/icvts/ivab036.
2
Sleep-related breathing disorders associated with the characteristics of underlying congenital rare diseases of Moebius syndrome and Poland syndrome.与先天性罕见疾病梅比厄斯综合征和波兰综合征特征相关的睡眠呼吸障碍。
Respirol Case Rep. 2020 May 18;8(5):e00579. doi: 10.1002/rcr2.579. eCollection 2020 Jul.