改良胸肋抬举术治疗漏斗胸

Modified Sternal Elevation Operation for Pectus Excavatum in Children

目的探讨改良胸肋抬举术治疗儿童漏斗胸的临床效果。方法2000-2007年收治15例漏斗胸患儿，均施行胸骨剑突切除，第3-7过长肋软骨斜形截除，胸骨后充分游离，“8”字或“U”字对应缝合肋软骨。此时，即可观察到凹陷之胸骨被上举成功。结果15例漏斗胸患儿均实施改良胸肋抬举术，操作简单，出血少，胸前凹陷消失。术后平均随访34个月，效果满意，1例患儿切口皮下积液，经换药伤口愈合。结论改良胸肋抬举术是治疗漏斗胸的一种简易可行的方法，近期效果好，由于病例数较少，远期效果有待进一步观察。

Objective To study the clinic results of modified sternal elevation operation（MSEO） in management of pectus excavatum （PE）, Methods 15 patients with PE from 2000 to 2007 in our hospital underwent removing of the xiphoid cartilage, diagonal transection of the overlong third and seventh rib cartilage,free the area behind sternal, sew up rib cartilage accordingly by the shape of “8” or “U”. The concave sternal was elevated successfully. Results 15 patients with PE underwent MSEO. The operation was simply with slight bleed. The concave phenomena disappeared. The followed-up of 38 months after operation showed that the results were satisfactory. One case with effusion under incision was healed by dressing change. Conclusions MSEO is a simple and effective method for pectus excavatum. Its short-term effect is good, and the long-term effect is still to be observed because cases are not enough.