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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。
Objective To investigate the manifestations and causes of cartilage anterior deformity of the 2nd and / or 3rd rib after suprasternal stenosis. Methods Five cases of supratentorial cartilage anterior deformity who were complicated with upper second and / or third costal cartilage were analyzed. Results Fifty-two cases of children with cartilaginous deformity of the second and / or the third costal site were found in 15 2 cases with complete follow-up data. The incidence was 3.2 9%. 5 males in 3 cases, 2 females, aged 4 to 15 .2 years old. The deformity was found after 10 ~ 23 months, an average of 14.8 months. Lateral chest radiograph shows a more flat chest. One case of re-operative removal of deformed rib cartilage was cured, and the other 4 cases were under further follow-up. Conclusion The second and / or third costal cartilage anterior deformity after sternal lifting is a common long-term complication. Surgical injury of the epiphyseal rib cartilage junction may be the cause of the complications, intraoperative resection of costal cartilage to avoid damage to the epiphyseal Department to prevent the occurrence of the complications may have a role.