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目的探讨改良胸骨上举术治疗漏斗胸以取得操作简便、创伤小、不易复发的手术方法。方法通过松解剑突后牵拉纤维束、矫正胸肋软骨反向关节畸形、胸骨前板V形截骨钢丝固定、斜形切除部分软骨牵拉固定等改进胸骨上举术方法治疗漏斗胸。结果1997年3月以来,治疗8例漏斗胸患儿,其中4例术前心率快者术中解除胸骨压迫后心率立即减缓。术中出血少,术后胸部形态恢复正常,活动能力明显改善。未出现气胸、感染等并发症。随访6个月~1年,未见畸形复发。结论改良胸骨上举术治疗漏斗胸畸形是安全有效的治疗方法。
Objective To investigate the improved sternum on the treatment of funnel chest to obtain the operation is simple, less trauma, not easy to recurrence of surgical methods. Methods The sternocleidomastinomyctomy was performed by loosening the suture after pulling the fiber bundle, correcting the reverse joint deformity in the sternocultrual cartilage, fixing the V - shaped osteosynthesis wire on the anterior plate of the sternum, and pulling and fixing the oblique part of the cartilage. Results From March 1997, 8 cases of funnel chest were treated, of which 4 cases had rapid preoperative heart rate relieved immediately after intraoperative sternal compression. Less bleeding during surgery, postoperative chest shape returned to normal, activity was significantly improved. No pneumothorax, infection and other complications. Follow-up 6 months to 1 year, no recurrence of deformity. Conclusion Improved sternal surgery for the treatment of funnel deformity is a safe and effective treatment.