Clinical application of Nuss procedure for chest wall deformity in Poland syndrome.
Clinical application of Nuss procedure for chest wall deformity in Poland syndrome.
复制标题
Nuss 手术治疗波兰综合征胸壁畸形的临床应用。
DOI：
10.5114/kitp.2014.47343
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发表时间：
2014-12
期刊：
影响因子：
--
通讯作者：
Satoh K
中科院分区：
文献类型：
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作者：
Koizumi T;Mitsukawa N;Saiga A;Satoh K
一名患有波兰综合征的6岁女孩被诊断为患胸硬组织和软组织缺失。她需要胸部重建，以保护她的胸部和改善她的发育迟缓。我们给她用了一个漏斗胸儿童用的钛装置，结果形状很好。通过使用这个装置，我们避免了牺牲健康的肋骨和肌肉;她可以在青春期保存组织进行二次手术。该装置使其能够支持她的胸部框架的生长，并保持良好的形状。此外，在移除该装置后66个月，她的胸部轮廓一直保持不变。通过术前与术后CT指标的比较，我们评估了患者胸部结构的变化，发现结果有了很大的改善。我们认为，我们的技术将是简单的，低侵入性，和安全的治疗学龄期胸廓畸形。
A 6-year-old girl with Poland syndrome was diagnosed with loss of hard and soft tissue on her affected chest. She required chest reconstruction to protect her thorax and improve her developmental delay. We applied a titanium device used for children with funnel chest to her, resulting in good shape. By using this device, we avoided sacrificing healthy rib and muscle; she could save the tissue for secondary surgery in puberty. The device made it possible to support the growth of her thoracic frame and has kept it in good shape. Also, 66 months after removing the device, her chest contour has been maintained. We evaluated the change of her chest frame by comparing the preoperative and postoperative CT index and found the result quite an improvement. We suggest that our technique would be easy, of low invasiveness, and safe for treatment of thoracic deformity in school age.