Goertzen M, Baltzer A, Schulitz K P
Department of Orthopaedic Surgery, Heinrich-Heine-University, Düsseldorf, Germany.
Arch Orthop Trauma Surg. 1993;112(6):289-91. doi: 10.1007/BF00452967.
The cases of 36 out of 62 patients who underwent surgical correction of funnel chest deformity between 1978 and 1988 with an average follow-up of 7.6 years were reviewed. The mean age at which the Hegemann operation was performed was 14.1 years. Preoperative cardiorespiratory disorders were reported by 76% of patients, while 71% showed electrocardiographic and pulmonary alterations. Post-operatively, cardiorespiratory disorders were significantly reduced, but the electrocardiographic changes were not. The pre- and postoperative radiological and functional measurements of the chest deformity which allow an objective evaluation of the surgical result are described. Surgical treatment is indicated in most cases of funnel chest deformity, for cosmetic or psychological reasons. The long-term results were good or fair in 90% or more of our cases. We suggested that disfiguring scars with keloid formation cause less psychological distress than persistent congenital malformation of the chest.
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。进行黑格曼手术的平均年龄为14.1岁。76%的患者术前存在心肺功能障碍，71%的患者有心电图和肺部改变。术后，心肺功能障碍显著减轻，但心电图改变未减轻。描述了术前和术后对胸部畸形的影像学和功能测量，这些测量有助于客观评估手术结果。出于美容或心理原因，大多数漏斗胸畸形病例都需要进行手术治疗。在我们的病例中，90%以上的长期结果良好或尚可。我们认为，与持续存在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心理困扰较小。
