Wada手术治疗成人漏斗胸

Wada's operation on patient for funnel chest

我院1987年1月～1993年10月间Wada手术治疗成人漏斗胸10例(男7例,女3例),平均年龄18岁(14～32岁).术前胸廓指数为0.28±0.09,肺功能平均1秒用力呼气量(%FEV_1)为71.6%,最大呼气中间流量(MMF)为2.3L/S,最大肺活量(%FVC)为67.8%.胸廓指数越大,肺功能越好.4例胸廓指数>0.30,其肺功能指标明显高于胸廓指数<0.30的6例病人.术后并发症:1例胸骨后感染,与纵隔引流不畅及组织坏死较多有关.1例术后左侧肺不张,经吸痰等治疗后好转.2例病人术后3周内低热.胸骨翻转术应注意减少组织坏死及胸骨后感染,故应尽可能保留胸廓内动脉、清除胸骨上多余的软组织、胸骨翻转后肋软骨应尽量用骨膜包裹、放置有效引流管等以减少并发症.

Ten patients (7male and 3 female) with funnel chest were performed Wada's operation from 1987 to 1993 in our hospital.The age of these patients was 14 to 32 years (mean 18 years). The CT index was 0.28±0.09,FEVl71.6%,MMF2.3L/S ,FVC 67.8 %before opertion.The results showed that CT index had relation to pulmonary function. The higher the CT index was. the better the pulmonary function was. The postoperative complications included substernal infection,atelectasis and fever.We think that it is necessary that soft tissue necrosis andv substernal infection be prevented,internal thoracic artery protected and soft tissue on the sternal got rid of during the operation of sternal turnover.