pectus excavatum |Diagnosis & Treatments
How is pectus excavatum diagnosed?
通常在体格检查期间诊断出胸肌。X射线of the chest can be helpful, as well.
Other tests your child's doctor might recommend include:
- 心电图(EKG或ECG)
- echocardiogram(cardia ultrasound)
- pulmonary function test(PFT)
Pectus Excavatum有哪些治疗选择?
If your child has a mild case of pectus excavatum, there's probably no reason for surgery. A shallow excavatum is unlikely to affect the heart or lung functioning, and your child's appearance will remain normal.
If the deformity is causing physical or social problems, it can be surgically repaired. There are two surgical options, both of which require your child to be put under general anesthesia.
Ravitch
在此过程中,外科医生在孩子的胸壁上切开一个切口,去除肋骨和胸骨之间的软骨,并重新放置释放的胸骨。胸壁上留有一个条,以保持正确的形状六个月。在此期间,您的孩子将不得不避免可能涉及碰撞的活动,例如足球。该技术解决了问题,但在胸部留下了可见的疤痕。
Nuss
In this procedure, the surgeon makes incisions on the side of your child's chest wall. The surgeon then inserts a bar laterally through the chest and moves the breastbone forward. No cartilage is removed, and scarring is less extensive.
努斯的过程不会以孩子的胸部外观去除任何不对称性。酒吧必须至少住一年,有时还必须两年。
修复我孩子的果皮excavatum有什么好处?
虽然大多数患有果皮的儿童根本不需要任何治疗,但可以通过手术修复更严重的病例,以便您的孩子可以过正常的活跃生活。
在严重的情况下,修复果皮可以帮助心脏和肺部的功能。但是在大多数情况下,好处主要是心理上的。对于那些因外表而不高兴的孩子,手术可能会有所不同。