【摘要】 目的　探讨胸骨上举术后并发第 2和 /或第 3肋软骨前凸畸形的表现及其原因。方法　对 5例胸骨上举术后并发第 2和 /或第 3肋软骨前凸畸形的患儿资料进行分析。结果　 15 2例随访资料完整的漏斗胸患儿中发现 5例术后第 2和 /或第 3肋软骨前凸畸形的患儿 ,发生率为 3.2 9%。5例中男 3例 ,女 2例 ,年龄 4～ 15 .2岁。术后发现该畸形的时间为 10～ 2 3个月 ,平均 14.8个月。侧位胸片示胸廓较扁平。其中 1例再次手术切除畸形肋软骨治愈 ,另 4例患儿在进一步随访中。结论　胸骨上举术后第 2和 /或第 3肋软骨前凸畸形是一种较常见的远期并发症。手术损伤肋骨软骨结合处骨骺可能是引起该并发症的原因 ,术中切除畸形肋软骨时避免对该处骨骺的损伤对防止该并发症的发生可能有一定作用。更多还原

【Abstract】 Objective To investigate the manifestation and the cause of protrusion deformity of the second and/or third costal cartilages after sternal elevation operation. Methods Five children (male 3, female 2) aging from 4 to 15.2 years with the second and/or third costal cartilages protrusion deformity after sternal elevation were analysed. Results The incidence was 3.29% . The time of the deformity appearance ranged from 10 to 23 months (average 14.8 months) postoperatively. The lateral chest radiography showed the thorax was slight flat. One patient underwent the deformed cartilage excision, the other 4 were continued to follow up. Conclusions The protrusion is a common deformity after sternal elevation operation. It may be related to the growth center damage of the costochondral junction. Avoiding damaging the growth center during operation might have some effects on prevention.更多还原