Effect on Chest Deformation of Simultaneous Correction of Pectus Excavatum with Scoliosis.

Effect on Chest Deformation of Simultaneous Correction of Pectus Excavatum with Scoliosis.
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漏斗胸合并脊柱侧凸同步矫正对胸部变形的影响

DOI:
10.1155/2017/8318694
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发表时间:
2017
影响因子:
--
通讯作者:
Zhong WH
Zhong WH
中科院分区:
医学4区
文献类型:
--
作者:
Ye JD;Lu GP;Feng JJ;Zhong WH

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本文旨在了解漏斗胸同时矫正脊柱侧凸的效果,为临床骨科手术设计提供一些有用的信息。 采用三维重建方法重建漏斗胸脊柱侧凸胸部模型,并对微创矫正过程进行数值模拟。数值模拟中考虑了三种矫正方法:拉伸脊柱、同时拉伸脊柱和微创矫正,以及拉伸脊柱和漏斗胸微创同时矫正后释放拉伸脊柱。 研究发现,拉伸脊柱可能有助于矫正脊柱侧弯,但会加剧胸骨塌陷,而拉伸脊柱与微创矫正同时进行后松解拉伸脊柱,不仅能很好地矫正脊柱侧弯,还能改善胸骨塌陷,有助于改善患者的心跳和呼吸。 三种矫正方法中,拉伸脊柱后松解拉伸脊柱,同时进行微创矫正,可以同时改善脊柱侧弯和胸骨塌陷。
This paper is to understand the effect of simultaneous correction of pectus excavatum with scoliosis and to provide some useful information for clinical orthopedic surgery design. The method of a three-dimensional reconstruction has been used to the reconstruction of the chest model of pectus excavatum with scoliosis, and the numerical stimulation has been conducted to the process of minimally invasive correction. Three kinds of correction methods have been considered in the numerical simulation, stretch spine, stretch spine and minimally invasive correction at the same time, and release stretch spine after stretch spine and minimally invasive correction of pectus excavatum at the same time. It is found that stretch spine may help to correction of scoliosis but aggravate the sternum collapse, and release stretch spine after stretch spine and minimally invasive correction at the same time could not only be good at scoliosis but also improve the collapse of the sternum, which could help to improve the heartbeat and breath of the patients. Among the three kinds of correction methods, release stretch spine after stretch spine and minimally invasive correction at the same time could help to improve both the scoliosis and the collapse of the sternum.
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