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題名 | Management of Pectus Excavatum--A Ten Years Review at NTUH=漏斗胸治療之回顧 |
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作者 | 陳石池; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 26:1 民82.01-02 |
頁次 | 頁1568-1573 |
分類號 | 416.22 |
關鍵詞 | 治療; 漏斗胸; Pectus excavatum; Sternoplasty; |
語文 | 英文(English) |
中文摘要 | 台大醫院小兒外科過去10年內共有85例漏斗胸,有76位病人接受手術矯正。其中男孩占59位,女孩占17位。大多數病例發生在出生後6個月內。其中7位病人有家族史,11位有肌肉骨骼異常。開刀年齡從1歲5個月到14歲6個月不等,平均4歲7個月。59例使用Ravitch氏胸骨整形方法矯正,16位使用Ravitch氏加上鋼絲內固定,1位使用Wada氏方法矯正。我們追蹤到53位病人,追蹤時間從2個月到10.7年,平均4.7年。術後96.2%的病人獲得改善。我們發現前側胸骨截骨術和後側截骨術以及有無使用內固定,對術後矯正之滿意程度並無影響,而早期手術則比晚期手術效果好很多。 |
英文摘要 | From July 1980 to December 1990, 85 patients with pectus excavatum were seen at the Division of Pediatric Surgery, National Taiwan University Hospital. Seventy-six patients received surgical correction, there were 59 boys and 17 girls. In a majority of the patients (89.5%), the deformity was noticed at birth or within the first six months of life. Seven patients had a family history of pectus excavatum. Musculoskeletal abnormalities were identified in 11 patients. Ages at operation ranged from 1 year 5 months to 14 years 6 months, with a mean of 4 years 7 months. Fifty-nine patients received Ravitch procedure, 16 patients received modified Ravitch procedure (with wires for internal fixation), and one received Wada procedure. Fiftythree patients have been followed from 2 months to 10.7 years, with a mean of 4.7 years. The overall improvement rate has been 96.2%. There was no difference either between anterior osteotomy and posterior osteotomy or between those patientswith and without internal fixation in the result of treatment. Early, rather than later, correction seemed to produce better results. |
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