33例漏斗胸与扁平胸的外科治疗

目的 总结漏斗胸及扁平胸施行腹直肌蒂胸骨翻转术（ＳＴＯ－ＲＭＰ）及胸骨重叠术的治疗经验和体会。方法 １９８３年９月至１９９７年７月为３３例漏斗胸病人施行ＳＴＯ－ＲＭＰ，并对７例同时伴扁平胸的病人施行胸骨重叠术。年龄２．５－３４岁（中位数６．０岁），漏斗胸指数（Ｆ２Ｉ）０．２７－０．７７（中位数值０．３３）；非对称性漏斗胸者１１例，伴其它部位先天畸形者９例。

Surgical treatment of funnel chest and flat chest

Objective To review the surgical experience of sternal turnover with rectus muscle pedicle (STO-RMP) and sternal overlapping suture in the treatment of funnel chest and flat chest. Method From 1983 to 1997, 33 patients with funnel chest underwent sternal turnover with rectus muscle pedicle. 7 of 33 patients associated with flat chest were treated with sternal overlapping suture and STO-RMP. The patients' age ranged from 2 5 to 34 years (median, 6years). F2I was 0 2-0 77 (median, 0 33). 11patients had asymmetric funnel chest, and 9 in associated with deformity of other organs. The sternal longitudinal wedge osteotomy was performed after sternal turnover on severe funnel chest. Result There was no operative death and severe complication. 31 patients were followed up 5 to 10 years. The long-term result of surgery is satisfactory. Conclusion The method of sternal turnover with rectus muscle pedicle is the choice for moderate and severe funnel chest, especially for asymmetric funnel chest and flat chest.