Goţia D G, Aprodu S G, Savu B, Nedelcu D, Bejenaru T, Filip F, Munteanu V, Paiu C, Frasin M, Georgescu M
Clinica de chirurgie şi ortopedie pediatrică, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1996 Jul-Dec;100(3-4):169-72.
The aim of our study was to asses the functional and cosmetic results after performing a modified Ravitch-Sutherland procedure in children presenting with pectus excavatum. A series of 31 children with ages ranging between 5 and 16 years, presenting with pectus excavatum, were operated between 1986-1996 in our service. In 5 cases surgical treatment was required by the presence of respiratory and/or cardiac functional impairment due to the malformation. In the other 23 cases operation was performed mainly for cosmetic reasons. In all cases a modified Ravitch-Sutherland procedure was performed. Modifications consisted in renouncing at the plication of the perichondrium and in associating a diaphragmatic elongation and Bedouelle laparoplasty in all cases. Longitudinal sternotomy was performed in 2 cases with severely impaired ventilatory capacity. Functional and cosmetic results were good in all cases. In 2 cases, in which recurrence of the condition was observed, a second identical procedure was performed, with a good result. The interval between the operation and the moment of long-term evaluation ranged between 3 months and 11 years. We conclude that the modified Ravitch-Sutherland procedure represents an effective method for the treatment of pectus excavatum cases, offering good functional and cosmetic long-term results.
我们研究的目的是评估对患有漏斗胸的儿童实施改良拉维奇-萨瑟兰手术后的功能和美容效果。1986年至1996年期间，我们科室为一系列31名年龄在5至16岁之间、患有漏斗胸的儿童进行了手术。其中5例因畸形导致呼吸和/或心脏功能受损而需要手术治疗。其他23例手术主要是出于美容原因。所有病例均实施了改良拉维奇-萨瑟兰手术。改良之处在于放弃对软骨膜的折叠，并在所有病例中联合进行膈肌延长术和贝杜埃腹壁成形术。2例通气能力严重受损的患者实施了纵向胸骨切开术。所有病例的功能和美容效果均良好。2例观察到病情复发的患者再次进行了相同手术，效果良好。手术至长期评估的间隔时间为3个月至11年。我们得出结论，改良拉维奇-萨瑟兰手术是治疗漏斗胸病例的有效方法，能带来良好的长期功能和美容效果。
