带腹直肌蒂胸骨-肋软骨瓣翻转移植整复漏斗胸畸形

The reconstruction of funnel chest deformity with the reversed transplantation of sternum-costicartilage flap carried by the abdominal rectus pedicle

目的探讨整复先天性漏斗胸的手术方法。方法①根据前胸壁漏斗状凹陷畸形的病变范围,设计胸骨前面皮肤正中垂直切口线。②采用带腹直肌蒂胸骨肋软骨瓣,前后翻转移植整复严重漏斗胸畸形。结果1999年至2005年,于临床应用7例,全部获得成功,畸形矫正满意,术后无复发。结论带腹直肌蒂胸骨肋软骨瓣前后翻转移植是一种治疗漏斗胸前胸壁严重漏斗状凹陷畸形较好的方法。

Objective To investigate the reconstructive operative procedures of funnel chest with ＂sternum-costicartilage＂flap carried by the abdominal rectus pedicle. Methods ①In accordance with the lesioned area of funnel-like depressed deformity of anterior thoracic wall, a perpendicular median incision was designed and made; ②The ＂sternum-costicartilage＂flap carrying the abdominal rectus pedicle was used and reversed and transplanted to reconstruct severe funnel chest deformity. Results The procedure was used in 7 cases from 1999 to 2005. The results of surgery were satisfactory . There were no recurrence after operation. Conclusions The procedure reported here is rather safe, solid and sound with good therapeutic results, and is of great value in clinical practice.