改良胸骨翻转术矫治成年人漏斗胸（附19例报告）

目的总结改良胸骨翻转术治疗成年人漏斗胸的手术效果和经验。方法先天性成年人漏斗胸19例,漏斗胸系数在0.25～0.3之间。11例患者应用游离胸骨翻转术矫治,8例行带腹直肌蒂胸骨翻转术。结果19例患者术后胸壁外观及患者的自觉症状均满意。随访1～5年,胸廓外形均呈正常平坦,心脏复位,活动耐量改善。结论采用游离胸骨翻转术与带血管蒂胸骨翻转术矫治成年人漏斗胸仍是比较安全、可靠的手术方法,但后者操作复杂、费时。

Modified sternal turnover operation for pectus excavatum in adult

Objective To analyze the surgical data of adult patients with pectus excavatum treated by modified sternal turnover operation. Methods 19 patients with pectus excavatum including 17 male and 2 female were studied. Their mean age at operation was 19.5 years （range 18-22） and the index （F1） was between 0.25 and 0. 3. Sternal turriover operation was performed in 11 cases, and Sternal turnover with pedicle of abdominal rectus muscle in another 8 cases. Results All the patients had markedly postoperative improvement in thoracic configuration. The postoperative follow up was ranging from 1 to 5 years. No recurrence was occurred. The patients had normal shape or mild flat of the chest and an increase in exercise tolerance. The heart returned to its normal site. Conclusion Sternal turnover operation and Sternal turnover with pedicle of abdominal rectus muscle for Pectus excavatum in adult are safe. But the later operating is complex and time-consuming.