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中华妇幼临床医学杂志(电子版) ›› 2008, Vol. 04 ›› Issue (01) : 4 -4. doi: 10.3877/cma.j.issn.1673-5250.2008.01.103

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先天性胸壁畸形的诊治
刘文英   
  1. 四川大学华西医院小儿外科(成都,610041)
  • 出版日期:2008-02-01
  • Published:2008-02-01
引用本文:

刘文英. 先天性胸壁畸形的诊治[J/OL]. 中华妇幼临床医学杂志(电子版), 2008, 04(01): 4-4.

图1 漏斗胸畸形外观及胸廓CT三维成像图片,前胸壁呈对称的漏斗状下陷。
图2 漏斗胸的胸部CT及X胸片,可见前胸壁凹陷而不对称,心影向左侧胸腔移位。通常用胸部X线后前位和侧位片可以计算胸廓指数(Haller index),用胸部CT片测量更为准确。即于胸骨下陷最低点测量胸廓的内面最大横径和胸骨后缘与相应椎体前缘的最短距离的比值,该值大于3.2即为中重度,需要手术治疗
图3 一个漏斗胸患儿在Nuss手术前后胸廓的修复及手术切口情况,可见伤口在胸廓两侧,而正中无伤口,X线照片上可见固定于胸壁内的Nuss钢板
图4A Poland综合症病理改变示意图片显示右侧胸壁有多支肋骨缺损,肌肉缺损等。
图4B 一个胸骨裂患儿的三维CT图,显示胸骨下段缺损
1 肖现民,刘文英,郑珊.临床小儿外科学——新进展、新理论、新技术.上海:复旦大学出版社,2007,229-234.
2 刘文英,王永刚,唐耘熳等. 漏斗胸患儿心身健康调查.实用儿科临床杂志,2005,20(2):178-179.
3 Nuss D, Kelly RE Jr, Croitoru DP, et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg, 1998, 33(4): 545-552.
4 Hebra A, Swoveland B, Egbert M, et al. Outcome analysis of minimally invasive repair of pectus excavatum: review of 251 cases (discussion). J Pediatr Surg, 2000, 35(2): 252-257,257-258.
5 Nuss D, Croitoru DP, Kelly RE Jr, et al. Review and discussion of the complications of minimally invasive pectus excavatum repair. Eur J Pediatr Surg, 2002, 12(4):230-234.
6 Park HJ, Lee SY, Lee CS. Complications associated with the Nuss procedure: Analysis of risk factors and suggested measures for prevention of complications(discussion). J Pediatr Surg, 2004, 39(3):391-395.
7 Park HJ, Lee SY, Lee CS, et al. The Nuss procedure for pectus excavatum: Evolution of techniques and early results on 322 patients. Ann Thorac Surg, 2004, 77(1):289-295.
8 Croitoru DP, Kelly RE Jr, Goretsky MJ, et al. Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J Pediatr Surg, 2002, 37(3): 437-445.
9 胡廷泽,徐志诚,刘文英等.鸡胸的外科治疗.中华胸心血管外科杂志,2003,19:244.
10 Glicenstein J. Corrective surgery of thoracic anomalies in Poland syndrome. General review of 20 patients. Ann Chir Plast Esthet, 2001, 46(6):640.
11 庄岩,王克来,谭国华. 胸骨裂一例. 中华小儿外科杂志,2006, 27(1):41.
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