钢板胸骨悬吊术矫治婴幼儿漏斗胸的效果

Surgical treatment of pectus excavatum in infants by hanging up sternum with stainless steel strut

目的总结钢板胸骨悬吊术矫治婴幼儿漏斗胸的经验。方法对2000年1月至2005年1月我科采用钢板胸骨悬吊术矫治婴幼儿漏斗胸52例进行回顾性分析。伴先天性心脏病患儿同时行先心病根治术;伴肺囊肿患儿同时行肺叶切除术;伴食道裂孔疝患儿同时行食道裂孔疝修补术。结果全组无死亡。术后除1例合并肺炎外,余恢复良好。所有患儿随访3个月至5年,除1例胸廓局部稍凹陷外,余均有一个良好外观的胸廓。术前的心肺功能障碍恢复满意。结论先天性漏斗胸可早期手术,钢板胸骨悬吊术矫治婴幼儿漏斗胸可取得良好的效果。

Objective To review the experience on treating pectus excavatum in infants by hanging up sternum with stainless steel strut. Methods Fifty-two infants with pectus excavatum （PE）, 39 boys and 13 girls aged 10 months to 3 years were retrospectively studied, who received treatment in our hospital from January 2000 to January 2005. All PE infants were treated by hanging up sternum with stainless steel strut. The lung cysts, esophageal hiatal hernia and congenital heart diseases were simultaneously treated, Results Except one case of pneumonia, the other cases had normal contours. The follow-up period was 3 months to 5 years postoperatively. Except that one had slight notch in thorax, all patients had satisfactory results. The cardiopulmonary function had been improved postoperatively. Conclusion Pectus excavatum deformities are suitable to early operation. Correction of pectus excavatum by hanging up sternum with stainless steel strut results in an excellent cosmetic outcome.