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使用复合网片成功修复胸骨裂:一例报告及新技术说明

Successful surgical repair of a sternum cleft using composite mesh: A case report and new technical note.

作者信息

Razafimanjato N N M, Tsiambanizafy G O, Ravelomihary T D N, Rakotovao H J L, Hunald F A

机构信息

Division of Thoracic Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar.

Division of Pediatrics Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar.

出版信息

Afr J Thorac Crit Care Med. 2021 Jun 23;27(2). doi: 10.7196/AJTCCM.2021.v27i2.103. eCollection 2021.

Abstract

Sternal clefts are infrequent congenital malformations, particularly in their complete presentation. There are less than 100 descriptions of these defects published in the literature worldwide. We report a clinical case of lower sternal cleft associated with congenital laparoschisis in a 2-year-old boy. Surgery was performed because of recurrent pneumopathy and the risk of cardiorespiratory decompensation in the midterm. A semi-resorbable prosthesis was used for sternal closure. We have not observed any complications with this sternal closure system in our patient. This approach is easy, safe, effective and not harmful to a child's growth.

摘要

胸骨裂是一种罕见的先天性畸形,尤其是完全型胸骨裂。全球范围内,文献中对这些缺陷的描述不足100例。我们报告了一例2岁男孩下胸骨裂合并先天性腹壁裂的临床病例。由于反复发生肺部疾病以及中期存在心肺功能失代偿风险,遂进行了手术。使用了一种半可吸收假体进行胸骨闭合。在我们的患者中,未观察到这种胸骨闭合系统有任何并发症。这种方法简便、安全、有效,且对儿童生长无害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed51/8327679/f8c0efe1106c/AJTCCM-27-2-103-fig1.jpg

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