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[漏斗胸手术后的远期结果]

[Late results following surgery for funnel chest].

作者信息

Goertzen M, Baltzer A, Schulitz K P

机构信息

Orthopädische Klinik und Poliklinik, Heinrich-Heine-Universität Düsseldorf.

出版信息

Z Orthop Ihre Grenzgeb. 1994 Jul-Aug;132(4):322-6. doi: 10.1055/s-2008-1039982.

Abstract

36 out of 62 patients, who underwent surgical correction for funnel chest deformity between 1978 and 1988 with an average follow-up of 7.6 years have been reviewed. The mean age, Hegemann operation was performed, was 14.1 years. 76% of patients reported preoperatively cardiorespiratory disorders, 71% showed electrocardiographic and pulmonary alterations. Postoperatively significant reduction of cardiorespiratory disorders but no significant reduction of electrocardiographic changes were seen. The pre- and postoperative radiological and functional measurements of the chest deformity which provides an objective evaluation of the surgical result are described. Surgical treatment is indicated in most of cases for cosmetic or psychic reasons. The long-term results were good or fair in 90% or more of our cases. We suggested that disfiguring scars with keloid formation causes less mental stress than persistent congenital malformation of the chest.

摘要

对1978年至1988年间接受漏斗胸畸形手术矫正的62例患者中的36例进行了回顾性研究,平均随访7.6年。接受黑格曼手术时的平均年龄为14.1岁。76%的患者术前报告有心肺功能障碍,71%有心电图和肺部改变。术后心肺功能障碍明显减轻,但心电图改变无明显减轻。描述了术前和术后对胸部畸形的影像学和功能测量,这些测量为手术结果提供了客观评估。大多数情况下,出于美容或心理原因建议进行手术治疗。在我们的大多数病例中,长期效果良好或尚可。我们认为,与持续的先天性胸部畸形相比,有瘢痕疙瘩形成的毁容性瘢痕造成的精神压力较小。

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