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漏斗胸复发的原因——手术治疗及长期结果。

Cause of funnel chest recurrences---operative treatment and long-term results.

作者信息

Willital G H, Meier H

出版信息

Prog Pediatr Surg. 1977;10:253-6.

PMID:866681
Abstract

We found that 2-3 years after operation the result is final. If a partial or total recurrence develops, this will take place within the first 2 to 3 years after operation. Local deformities of the cut ribs or the cartilages will enlarge and bulge the skin during the first 24 months. There is no overgrowth after that time. There is no reason to leave the metal strut in place longer than 1 year. All the cut and resutured ribs have grown together after that time, and there is no interference with the growth of the ribs or the further development of the chest wall. Our recurrences are due to local infections, removing the metal strut too early, i.e. within the first 4 to 5 months after operation, using a metal strut too small, and not resuturing the cut ribs themselves.

摘要

我们发现术后2至3年结果是最终的。如果出现部分或完全复发,这将在术后头2至3年内发生。在术后头24个月内,切开的肋骨或软骨的局部畸形会使皮肤隆起。此后不会有过度生长。没有理由将金属支柱留置超过1年。在那段时间之后,所有切开并重新缝合的肋骨都已愈合在一起,并且不会干扰肋骨的生长或胸壁的进一步发育。我们的复发是由于局部感染、过早取出金属支柱(即在术后头4至5个月内)、使用的金属支柱过小以及未对切开的肋骨本身进行重新缝合。

相似文献

1
Cause of funnel chest recurrences---operative treatment and long-term results.漏斗胸复发的原因——手术治疗及长期结果。
Prog Pediatr Surg. 1977;10:253-6.
2
[Indications and surgical technic for the correction of funnel chest and its results].[漏斗胸矫正的适应症、手术技术及其结果]
Chirurg. 1975 Jul;46(7):323-8.
3
[Surgical correction of chest wall abnormalities].
Chirurg. 1982 Jul;53(7):436-40.
4
[Funnel chest and pigeon breast (author's transl)].漏斗胸和鸡胸(作者译)
MMW Munch Med Wochenschr. 1977 Apr 29;119(17):559-64.
5
[Indication and operative technique in chest deformities (author's transl)].胸部畸形的适应症与手术技术(作者译)
Z Kinderchir. 1981 Jul;33(3):244-52. doi: 10.1055/s-2008-1063126.
6
[Techniques and experiences in funnel chest operations].漏斗胸手术的技术与经验
Langenbecks Arch Chir Suppl Kongressbd. 1992:401-9.
7
[Results of funnel chest treatment--a retrospective 20-years analysis].[漏斗胸治疗结果——一项20年的回顾性分析]
Zentralbl Chir. 1984;109(15):969-75.
8
[Surgical repair of pectus excavatum by internal metal strut fixation. Clinical experience in 51 cases].
Minerva Chir. 2000 Dec;55(12):835-40.
9
Long-term results of operative funnel chest treatment: summary.漏斗胸手术治疗的长期结果:总结
Prog Pediatr Surg. 1977;10:251-2.
10
Surgical treatment of pectus excavatum.漏斗胸的外科治疗。
Chest Surg Clin N Am. 2000 May;10(2):277-96.

引用本文的文献

1
Revision after prior failed pectus excavatum repair: higher risks and greater complications than primary surgery.既往漏斗胸修复失败后的翻修手术:风险高于初次手术,并发症更多。
J Thorac Dis. 2024 Jul 30;16(7):4359-4378. doi: 10.21037/jtd-24-417. Epub 2024 Jul 18.
2
Mamma-augmentation-plasty after operation for funnel-chest deformity.漏斗胸畸形手术后的乳房增大成形术。
Aesthetic Plast Surg. 1980 Dec;4(1):47-56. doi: 10.1007/BF01575201.
3
Modified Nuss procedure in the treatment of recurrent pectus excavatum after open repair.
改良努斯手术治疗开放性修复术后复发性漏斗胸
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):258-62. doi: 10.1093/icvts/ivt150. Epub 2013 May 3.
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Upper sternal depression following Lorenz bar repair of pectus excavatum.漏斗胸Lorenz杆修复术后上胸骨凹陷。
Pediatr Surg Int. 2008 Jul;24(7):843-6. doi: 10.1007/s00383-008-2133-9. Epub 2008 Apr 26.