Health Worlds

Abstract: Recently, a 29-year-old from Hebei very severe pectus excavatum patients, Thoracic Surgery, Beijing Military General Hospital, pectus excavatum treatment center in China successfully conducted NUSS minimally invasive surgical treatment, the success of the operation also shows that in most of our severe difficulty minimally invasive treatment of pectus excavatum technology reached the international advanced level. Liu Jifu said that adult patients, severe pectus excavatum deformity, sunken deep, sternum, costal cartilage depression angle, and the sternal manubrium and sternal body fusion.
Recently, a 29-year-old from Hebei very severe pectus excavatum patients, Thoracic Surgery, Beijing Military General Hospital, pectus excavatum treatment center in China successfully conducted NUSS minimally invasive surgical treatment, the success of the operation also demonstrated the degree of difficulty in the heavy Minimally invasive treatment of pectus excavatum technology reached the international advanced level.
According to famous experts of Thoracic Surgery, Thoracic Surgery, Beijing Military General Hospital, Director Liu Jifu introduced, the patient Zhang Hongjie (sound), male. Private prosecution found that depressed anterior chest wall deformity in 29 years. 3 months after birth, before his family found abnormal thoracic depression, depression level gradually increased with age. 4 years after the event to the gradual emergence of chest tightness, shortness of


breath symptoms, often a sense of fatigue, activity decreased significantly. Around the doctor, no hospital for treatment. January 14, 2010 to Beijing Military General Hospital for treatment, required surgery. For specialist examination as follows: thoracic symmetry, sternum and costal cartilage attached to depression deformity, pectus excavatum was a typical change in depression on the rib cartilage from the second stage, down to the xiphoid, maximum width of bilateral nipple depression range length, width and depth of about 17x15x7.8 cm. Under the apex beat was shifted to the left outside, in the 7th intercostal space at anterior axillary line.
Improve the examination after admission. Chest CT examination, see: funnel chest changes, sternal manubrium, sternal fusion, sternum angle of about 15 degrees, the deepest depression from the sternum edge nearest the spine 3 cm; chest decreases, the heart was shifted to the left under pressure completely on the left chest; see the limitations of the lung emphysema, bullae performance. Pectus index 9.1 (very severe). Chest X-ray examination, see: thoracic scoliosis, heart shadow form strange, prominent pulmonary artery segment, consider pulmonary hypertension, vascular door lungs thicker texture.
Liu Jifu said that adult patients, severe pectus excavatum deformity, sunken deep, sternum, costal cartilage depression angle, and the sternal manubrium and sternal body fusion. Purpose of surgical treatment of sternal depression on the first lift its heart, lung compression, followed by improving the thoracic shape. NUSS routine surgical correction of pectus excavatum, the sternum lifting depression difficult. After the decision considering the small incision, transverse wedge osteotomy of the sternum, so that after lifting the sternum to reduce tension. On January 17, 2010 under general anesthesia NUSS pectus excavatum correction, sternal wedge osteotomy. Into a supporting bar. Satisfactory correction of deformity after the lifting of the heart, lung compression, thoracic full, appearance is very satisfactory. Patients recovered well after 1 Zhoushun Li discharged.
Liu Jifu reminded that pectus excavatum is a congenital disease, infancy, symptoms are minor, the parents easily overlooked, failed to promptly correct treatment. Some even grow some of the adults, more and more obvious to notice the symptoms. In addition to the oppression of the heart and lungs, causing physical harm patients will have adverse effects on the psychological, mental illness or even cause depression. Pectus excavatum in adult patients, most hospitals and doctors that is not governed, but also do not recognize the harm of its life, this is a misunderstanding. Pectus excavatum treated using minimally invasive way to correct, in the country have in recent years, initially mainly for children, the advantages of smaller incision, while the assisted thoracoscopy, can really real-time monitoring, significantly improve security. In recent years minimally invasive orthopedic adults we started trying to do several hundred cases of operation, from the nearly four years of observation, results or very satisfied. The incidence of pectus excavatum is still relatively high, typically one-thousandth to four thousandths, be sure to do early detection and early treatment. (Yin Yi) (Youth Net)


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