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手术矫形治疗脊柱侧弯后下腔静脉受压的紧急瑞维奇(Ravitch)手术。

Emergency Ravitch Procedure for Inferior Vena Cava Compression After Surgical Scoliosis Correction.

机构信息

Department of Thoracic Surgery, Toulouse University Hospital, Hospital Larrey, Toulouse, France.

Department of Thoracic Surgery, Toulouse University Hospital, Hospital Larrey, Toulouse, France.

出版信息

Ann Thorac Surg. 2020 Oct;110(4):e299-e301. doi: 10.1016/j.athoracsur.2020.02.015. Epub 2020 Mar 12.

DOI:10.1016/j.athoracsur.2020.02.015
PMID:32173337
Abstract

Pectus excavatum is a common chest malformation, classically asymptomatic. The pectus excavatum surgical procedure allows aesthetic correction. Funnel chest is a malformation frequently associated with thoracic scoliosis, especially in Marfan syndrome. Scoliosis is treated with first-line nonsurgical treatment. Second-line treatment consists of a scoliosis operation. In this case report, we present an exceptional emergency indication of funnel chest correction with the Ravitch procedure for a 14-year-old girl who presented with postoperative acute compression of the inferior vena cava due to a surgical scoliosis correction.

摘要

漏斗胸是一种常见的胸部畸形,通常无症状。漏斗胸手术可实现美观矫正。鸡胸是一种常与胸脊柱侧凸相关的畸形,特别是在马凡综合征中。脊柱侧凸采用一线非手术治疗。二线治疗包括脊柱侧凸手术。在本病例报告中,我们介绍了一名 14 岁女孩因脊柱侧凸手术矫正而导致下腔静脉急性受压的情况下,采用 Ravitch 手术进行漏斗胸矫正的特殊急诊适应证。

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Emergency Ravitch Procedure for Inferior Vena Cava Compression After Surgical Scoliosis Correction.手术矫形治疗脊柱侧弯后下腔静脉受压的紧急瑞维奇(Ravitch)手术。
Ann Thorac Surg. 2020 Oct;110(4):e299-e301. doi: 10.1016/j.athoracsur.2020.02.015. Epub 2020 Mar 12.
2
Rescue Nuss procedure for inferior vena cava compression syndrome following posterior scoliosis surgery in Marfan syndrome.马凡综合征后路脊柱侧凸手术后下腔静脉压迫综合征的挽救性 Nuss 手术。
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Inferior vena cava obstruction after pectus excavatum repair.漏斗胸修复术后下腔静脉阻塞
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Mechanical occlusion of the inferior vena cava: an unusual complication after repair of pectus excavatum using the nuss procedure.下腔静脉机械性梗阻:使用努氏手术修复漏斗胸后的一种罕见并发症。
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Mechanical occlusion of the inferior vena cava: an early complication after repair of pectus excavatum using the Nuss procedure.下腔静脉机械性闭塞:Nuss 手术修复漏斗胸后的早期并发症。
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Severe hypotension associated with the prone position in a child with scoliosis and pectus excavatum undergoing posterior spinal fusion.一名患有脊柱侧弯和漏斗胸的儿童在进行后路脊柱融合术时,俯卧位引发严重低血压。
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引用本文的文献

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Surgical Treatment of Pectus Excavatum: The Boundary Between Pathologic and Aesthetic Need.漏斗胸的外科治疗:病理需求与美学需求的界限
J Clin Med. 2025 Jan 3;14(1):231. doi: 10.3390/jcm14010231.
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Hemodynamic deterioration due to increased anterior and posterior cardiac compression during posterior spinal fusion for scoliosis with pectus excavatum.在为伴有漏斗胸的脊柱侧弯患者进行后路脊柱融合术时,由于前后心脏受压增加导致血流动力学恶化。
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Hemoptysis due to progressive scoliosis associated with congenital heart disease: a case report.
特发性脊柱侧凸相关性咯血:病例报告。
BMC Musculoskelet Disord. 2022 Mar 18;23(1):263. doi: 10.1186/s12891-022-05225-9.