| 漏斗胸修复术的胸廓重塑 |
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| 引用本文： | 胡廷泽,刘文英,韦福康,蒋小平,罗启成,冯杰雄,刘敏.漏斗胸修复术的胸廓重塑[J].中国修复重建外科杂志,1998,12(3):156-158. |
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| 作者姓名： | 胡廷泽 刘文英 韦福康 蒋小平 罗启成 冯杰雄 刘敏 |
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| 作者单位： | 华西医科大学附属第一医院小儿外科,四川成都,610041 |
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| 摘 要： | 为了探索漏斗胸修复术后如何才能重塑一个完善的胸廓，对１９７５年１０月～１９９６年１２月，采用的胸骨翻转术８例，胸骨上举术１４３例治疗的漏斗胸患儿，进行了３个月～１４年随访。结果表明，术后３个月即可发现重建的胸廓有新生肋软骨再生，６个月时变得较坚韧，１年时已成为基本正常的胸廓，此时拔除金属支杠最佳。认为，肋软骨的再生是胸廓重塑的基础，应按照肋软骨再生规律，改进手术操作。术后坚持康复疗法，均可获得一个较满意的胸廓
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| 关 键 词： | 漏斗胸 修复 金属支杠 胸廓重塑 |
REGENERATION OF COSTAL CARTILAGE BY PECTUS EXCAVATUM AND THORACIC CAGE REMODELING |
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| T Hu,W Liu,F Wei.REGENERATION OF COSTAL CARTILAGE BY PECTUS EXCAVATUM AND THORACIC CAGE REMODELING[J].Chinese Journal of Reparative and Reconstructive Surgery,1998,12(3):156-158. |
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| Authors: | T Hu W Liu F Wei |
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| Institution: | Department of Pediatric Surgery, 1st University Hospital of West China University of Medical Sciences, Chengdu, P.R. China. |
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| Abstract: | In order to identify whether the regeneration of costal cartilage is the basis of post-surgical repair of pectus excavatum and thoracic cage remodeling, 151 cases were followed up for 0.25 to 14 years. The main procedures in treatment were 3 steps: To curve the mental strut as a bow, to repair the perichondrium as a tube, and to persist in post-operative therapy. The results showed that regeneration of the costal cartilages appeared 3 months postoperatively in the cases treated by this method. It was concluded that a satisfactory thoracic cage could be remodeled by improving the technique of repairing pectus excavatum and persisting in postoperative therapy according to the regeneration regularity. |
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| Keywords: | Pectus excavatum Repair Mental strut Thoracic cage remodeling |
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