Division of Pediatric Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, 241-8511, Japan.
Pediatr Surg Int. 2020 Dec;36(12):1465-1469. doi: 10.1007/s00383-020-04758-1. Epub 2020 Oct 30.
We report effects of treatment for pectus excavatum (PE) with a Vacuum Bell (VB).
Fifteen patients (13 males and 2 females) undergoing VB therapy over 6 years, aged 6-17 years (mean: 11.1 years), were divided into two Groups: Group 1 (G1), preteenagers (< 13 years); Group 2 (G2), teenagers (≧ 13 years). We retrospectively recorded changes in depth of depression and the Haller index.
The depth of depression reduced in 93.3% of 15 patients (mean; 8.7 mm). Minimal change occurred in the Haller index but the subcutaneous fat thickened significantly (11/15 patients). The improvement rate on elevation of the chest wall was better in G1 than G2 (G1: 54.0% vs G2: 51.3%).
The maximum depth of depression improved in PE patients as a result of thickening of subcutaneous fat. VB is most effective in preteenagers with PE.
我们报告使用真空钟（VB）治疗漏斗胸（PE）的效果。
15 名患者（13 名男性和 2 名女性）接受 VB 治疗，时间为 6 年，年龄为 6-17 岁（平均：11.1 岁），分为两组：组 1（G1），青少年前（<13 岁）；组 2（G2），青少年（≧13 岁）。我们回顾性记录了凹陷深度和 Haller 指数的变化。
15 名患者中有 93.3%（平均 8.7mm）的凹陷深度减小。Haller 指数变化最小，但皮下脂肪明显增厚（15 例中的 11 例）。G1 组胸廓抬高的改善率优于 G2 组（G1：54.0% vs G2：51.3%）。
由于皮下脂肪增厚，PE 患者的凹陷最大深度得到改善。VB 对患有 PE 的青少年最有效。
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