CAJ | 학술논문

目的：探讨改良Ravitch结合Nuss术治疗小儿鸡胸的手术方法及疗效。方法2008年1月至2013年1月我们采取手术治疗鸡胸10例，男8例，女2例，对称型7例，非对称型3例；年龄最小5岁，最大16岁，均行改良Ravitch结合Nuss术。结果对称型和非对称型鸡胸患儿术后胸廓外观均满意。2例术后出现皮下气肿，2例气胸，均自行吸收。1例术后3个月钢板固定片处感染，需再次手术拔除固定片。6例已经拔除钢板，随访12～26个月，平均（20．6±2．5）个月，均无胸廓变形。结论改良Ravitch和Nuss术均是较成熟和易于掌握的手术方法，两者结合矫正小儿鸡胸，矫形效果更佳。
목적：탐토개량Ravitch결합Nuss술치료소인계흉적수술방법급료효。방법2008년1월지2013년1월아문채취수술치료계흉10례，남8례，녀2례，대칭형7례，비대칭형3례；년령최소5세，최대16세，균행개량Ravitch결합Nuss술。결과대칭형화비대칭형계흉환인술후흉곽외관균만의。2례술후출현피하기종，2례기흉，균자행흡수。1례술후3개월강판고정편처감염，수재차수술발제고정편。6례이경발제강판，수방12～26개월，평균（20．6±2．5）개월，균무흉곽변형。결론개량Ravitch화Nuss술균시교성숙화역우장악적수술방법，량자결합교정소인계흉，교형효과경가。
Objetive Discuss the outcome of pectus carinatum corrected by modified Ravitch combined Nuss procedure. Methods From January 2008 to January 201 3,1 0 children with pectus crinmum (7 were symmetric and 3 were asymmetric )underwent modified Ravitch combined Nuss procedure in which 8 were boys,2 were girls,age from 5 to 1 6 years old. Results Both symmetric and asymmetric protrusions correction obtained highly satisfaction.Complications were cutaneous emphysema in 2,pneumothorax in 2 which without reintervene;Wire breakage and infection in 1 treated with fixation plate removal.6 patients have undergone bar removal,without deformation of sternum and cartilage .Average follow-up was 20.6 ±2.5 months. Conclu-sion Modified Ravitch combined Nuss procedure seems to be a simple and effective technique which obtained highly satisfaction.