摘要
【目的】探索改良倒T形内固定术在治疗2～4岁单纯对称性儿童漏斗胸中的疗效。【方法】将2005年5月至2007年5月间本院60例2～4岁单纯对称性漏斗胸患儿随机分成A、B两组,每组30例,A组采用切断胸骨和肋软骨加倒T形内固定术,B组采用改良倒T形内固定术（即不切断胸骨和肋软骨加倒T形内固定术）进行矫治。【结果】60例漏斗胸患儿胸骨畸形均得到满意矫正。两组在切口长度、出血量、手术时间、并发症发生率和住院时间上具有显著差异（P〈0.01）,B组均优于A组;而胸骨抬高高度、手术效果无明显差异（P〉0.05）,表明两组取得相同的手术效果。所有病例随访3个月至2年,B组未发生任何并发症。【结论】改良倒T形内固定术治疗2～4岁单纯对称性儿童漏斗胸具有手术时间短、创伤小、恢复快、手术瘢痕小、并发症少、效果满意、住院时间短和住院费用低的特点,简单易行,值得推广。
[Objective]To investigate the effects of modified inverted T-shaped internal fixation for the repair of simple symmetry pectus excavatum in 2-4 years old children. [Methods] From May 2005 to May 2007, sixty cases of 2- 4 years old children with simple symmetry pectus excavatum were divided into group A （ n = 30） and group B （ n = 30） at random, Group A underwent corrective operation by inverted T-shaped internal fixation with cutting off sternum and costicartilage, and Group B underwent corrective operation by modified inverted T-shaped internal fixation without cutting off sternum and costicartilage. [Results]Sternum malformation of pectus excavatum in children obtained satisfactory rectification. The two groups had a significant difference in incision length, amount of bleeding, surgical time, the rate of complications and hospitalization time（ P 〈0.01）. And those of Group B was better than those of Group A. However the height of elevation sternum and operative effect were no significant difference between two groups （ P 〉0.05）. It showed that their operative effects were the same. There were satisfactory results without recurrence after 3 months to 2 years follow-up in Group B. All patients had good cosmetic appearance without any complications. [Conclusion]The modified sternal elevation for simple symmetry pectus excavatum in 2 - 4 years old children has advantages such as short operative time, less trauma, quick recovery, small surgical scar, fewer complications, satisfactory results, short hospital stay and low hospital costs, etc. It is a safe, effective and reliable method, and is worthy of recommendation.
出处
《医学临床研究》
CAS
2007年第12期2117-2119,共3页
Journal of Clinical Research
