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改良 Ravitch 手术联合自体肋软骨移植治疗漏斗胸

Modified Ravitch Procedure and Autologous Cartilage Graft for Pectus Arcuatum.

机构信息

Department of Pediatric Surgery, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.

Department of Pediatric Surgery, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.

出版信息

Ann Thorac Surg. 2022 Aug;114(2):e105-e107. doi: 10.1016/j.athoracsur.2021.10.053. Epub 2021 Dec 9.

DOI:10.1016/j.athoracsur.2021.10.053
PMID:34896089
Abstract

Pectus arcuatum presents with sternal angle protrusion and bilateral cartilage deformity. A modified Ravitch procedure is the most common surgical approach. A graft to fill up the osteotomy may be necessary to ensure a stable correction. Studies of the behavior of a cartilage graft transplanted to a human bone defect are scarce. We present a case of autologous rib cartilage graft for sternotomy stabilization during pectus arcuatum repair. Graft viability and new bone formation were proved by computed tomography. Autologous cartilage rib graft is a biocompatible substitute available in the same surgical field with satisfactory results and minimal morbidity.

摘要

鸡胸呈胸骨角突出和双侧软骨畸形。改良的 Ravitch 手术是最常见的手术方法。为了确保稳定的矫正,可能需要移植移植物来填充截骨术。关于移植到人类骨缺损的软骨移植物行为的研究很少。我们报告了一例用于鸡胸修复时胸骨切开术稳定的自体肋软骨移植物。通过计算机断层扫描证实了移植物的存活和新骨形成。自体软骨肋骨移植物是一种在同一手术区域内具有生物相容性的替代品,结果令人满意,发病率低。

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Comparison of the Outcomes of Double-Bar and Non-Double-Bar Techniques in the Minimally Invasive Repair of Pectus Excavatum: A Focus on Bar Removal and Complications.漏斗胸微创修复中双杆与非双杆技术的疗效比较:以拔杆及并发症为重点
J Clin Med. 2025 Jun 13;14(12):4217. doi: 10.3390/jcm14124217.
2
Surgical treatment and outcomes of pectus arcuatum.弓形胸的手术治疗及结果
JTCVS Tech. 2024 Sep 25;28:194-202. doi: 10.1016/j.xjtc.2024.09.015. eCollection 2024 Dec.