胸廓成形术

Methods］When scoliosis of patients were corrected to a certain degree after three weeks of halo pelvic distraction, the most serious collapsed ribs of concave side of the curve underwent a transverse incision the cross ribs.

［目的］介绍35例重度脊柱侧弯合并严重胸廓塌陷的病例，在颅盆牵引的过程中，同时采用肋骨成形术加水平牵引治疗胸廓塌陷。

［Objective］To sum up the experience of wearing the halo pelvic and level traction costoplasty to treat 35 cases of severe scoliosis combined with collapsed chest.［Methods］When scoliosis of patients were corrected to a certain degree after three weeks of halo pelvic distraction, the most serious collapsed ribs of concave side of the curve underwent a transverse incision the cross ribs. A special rib bender was used to bend the exposed 3 to 6 ribs. The bent ribs were pulled up by double-stranded 10# thick silk which was extended out through the skin and fixed in the upright post of the instrument of Halo pelvic distraction with rubber membranes.［Results］Thirty-three in 35 patients underwent costoplasty.

［目的］介绍35例重度脊柱侧弯合并严重胸廓塌陷的病例，在颅盆牵引的过程中，同时采用肋骨成形术加水平牵引治疗胸廓塌陷［方法］颅盆牵引3周后，脊柱侧弯矫正到定程度时，在侧弯凹侧肋骨塌陷最重的部位，与肋骨交叉作横切口，暴露3～6条肋骨，用特制的肋骨折弯器将肋骨折弯变圆，用10号双股粗丝线将每条肋骨提起，自皮肤穿出通过橡皮膜在颅盆装置的立柱上作牵引。

Results 4 cases were treated by thoracic close drainage as long term treatment; 6 cases were cured with exclusive thoracic close drainage; 123 cases of bronchopleural fistula were treated with decortication or thoracoplasty after their symptoms of ardent fever, cough and expectoration vanished due to drainage ; 23 cases of hronchopleural fistula were treated with thoracic close drainage, cleaning up focus of infectionrestoring fistulae-splanchnic wall decortication and repeated chest drainage ,4 cases were cured and the extent of operation and thoracic deformity in 19 cases were diminished.

结果 4例不能耐受进一步手术者采用闭式引流术作为永久性的治疗；6例单纯引流治愈；123例因支气管胸膜瘘等经引流后高热、咳嗽、咳痰等症状消失，择期行胸膜纤维板剥脱术或胸廓成形术；23例合并支气管胸膜瘘拟行胸廓成形术的患者，经引流、病灶清除-瘘修补-脏层纤维板剥脱术、再引流，4例治愈，19例减小了手术范围及胸廓畸形的程度。

Funnel chest ; Thoracoscopy ; Thacoplasty ; Nuss procedure

漏斗胸；胸腔镜检查；胸廓成形术； Nuss 手术

1952 To undergo a partial thoracoplasty for pulmonary tuberculosis.

5他于1952年10月16日，因肺结核接受部分胸廓成形术，而住了院。

An added thoracoplasty to the thoracotomy approach, however, resulted in even greater residual reduction in PFTs at follow-up, with declines in percent-predicted FVC of 15%, percent-predicted FEV1 of 14%, and percent-predicted TLC of 8%.

然而，在开胸手术基础上增加的胸廓成形术反而导致术后肺功能的恢复减慢，预期最大通气量降低了15%，预期用力呼气量降低了14%，肺总量降低了8%。

66 patients with AIS and rib hump underwent instrumentation and thoracoplasty from 1999 to 2004. Of these cases, there were 43 girls with the mean age of 15.62 years old and mean Cobb's angle of 58.86° and 23 hoys with the mean age of 16.83 years old and the mean Cobb's angle of 60.87°.

1999年至2004年我院共行脊柱矫形内固定融合术及胸廓成形术治疗66例AIS患者，其中女性患者43例，平均年龄15.62岁，平均Cobb角58.86°；男性患者23例，平均年龄16.83岁，平均Cobb角60.87°。

An added thoracoplasty to the thoracotomy approach, howeer, resulted in een greater residual reduction in PFTs at follow-up, with declines in percent-predicted FC of 15%, percent-predicted FE1 of 14%, and percent-predicted TLC of 8%.

然而，在开胸手术基础上增加的胸廓成形术反而导致术后肺功能的恢复减慢，预期最大通气量降低了15%，预期用力呼气量降低了14%，肺总量降低了8%。

A larger preoperative thoracic kyphosis angle, greater immediate postoperative thoracic kyphosis angle decrease, thoracoplasty, and male sex correlated significantly with PJK.

一个更大的术前胸椎后凸角、更明显的术后胸椎后凸角减少、施行了胸廓成形术和男性等矫正因素与PJK显著相关。

Thoracic closed drainage, pleuroclysis, gluing through fibrobronchoscopy, fistula mending plus tissue embedding, pleura plus remaining-pulmonary resection or thoracoplasty.

病人分别采取胸腔闭式引流、胸腔冲洗、经纤维支气管镜生物胶封堵、瘘口修补加组织包埋、胸膜余肺切除、胸廓成形术等方法治疗。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。