小儿胸部畸形手术方法的研究与临床应用

Study and clinical application of the surgical methode for children thoracocyllosis

目的探讨小儿胸壁畸形矫治的手术方式。方法在３６例小儿胸壁畸形中，用胸骨悬吊法矫治漏斗胸４例；用胸骨翻转法矫治漏斗胸３例；采用胸、肋截骨内固定矫治漏斗胸２２例（其中３例合并胸骨旋转）、鸡胸６例、胸骨裂１例。结果胸骨悬吊法失败１例、优良３例；胸骨翻转法外观不满意２例、满意１例；胸、肋骨截骨加克氏针内固定法无１例并发症，矫形效果优良。结论胸、肋截骨加克氏针内固定法符合小儿生理特点，操作简便、创伤小、矫形效果满意。

Objective To research the surgical methods for children chest deformity orthomorphia Methods Among the 36 cases of children chest deformity, 4 cases of funelbreast were treated with sternum hanging ; 3 cases of funelbreast with subrolution; 22 cases of funelbreast(6 cases of children breast, 1 case of breaken sternum) were freated with rib cutting and fixing upResults 3 cases were succesful and 1 case failed with sternum hanging ; 1 case was satisfied and 2 cases unsatisfied with sternum subrolution; sternum and/or rib cutting and fixing up with Kirschuer pins operation goes wellThere was no syndrome occured Conclusion Sternum and rib cutting and fixing up with Kirschuer pins is a suitable surgical methods to children patients with thoracocyllosis The operation is easily doneThe cut is small, and the corrective result is satisfactory