Derveaux L, Clarysse I, Ivanoff I, Demedts M
Clinic of Lung Disease, University Hospitals, Catholic University, Leuven, Belgium.
Chest. 1989 Apr;95(4):850-6. doi: 10.1378/chest.95.4.850.
In 88 patients with pectus deformities radiologic chest indices and routine pulmonary function tests were measured before and 1 to 20 years after corrective surgery. A combination of anteroposterior indices at the upper and lower level of the chest were investigated to quantitate and to discriminate the different pectus deformities. The study comprised four groups: pectus excavatum, pectus carinatum, pectus deformatum and pectus excavatum with scoliosis. These indices were also assessed in 250 healthy males and females. Generally, several indices showed significant and discriminative changes in the different patient groups and improved again after surgery. Preoperative lung function was decreased in pectus excavatum only. In all groups lung function worsened after surgery. A stepwise discriminant analysis performed on the large group with pectus excavatum indicated that postoperative lung function was decreased if the preoperative value of FEV1 or VC was more than about 75 percent predicted and vice versa, but that it was not related to other factors such as radiologic indices, age at operation or time since operation.
对88例漏斗胸畸形患者在矫正手术前以及术后1至20年测量了胸部放射学指标和常规肺功能测试。研究了胸部上下水平前后径指标的组合，以量化和区分不同的漏斗胸畸形。该研究包括四组：漏斗胸、鸡胸、混合胸畸形以及合并脊柱侧弯的漏斗胸。还对250名健康男性和女性进行了这些指标的评估。一般来说，几个指标在不同患者组中显示出显著且有区分性的变化，术后又有所改善。仅漏斗胸患者术前肺功能下降。所有组术后肺功能均恶化。对大量漏斗胸患者进行的逐步判别分析表明，如果术前FEV1或VC值超过预测值的约75%，术后肺功能会下降，反之亦然，但这与其他因素如放射学指标、手术年龄或术后时间无关。
