Analysis of illness: pectus excavatum is a congenital disease, often a familial disease. There are more men than women, and the ratio of men to women is reported to be 4∶ 1, which belongs to sex-linked dominant inheritance. The incidence of pectus excavatum was 2.5‰ in those with family history, and only 1.0‰ in those without family history. The cause of pectus excavatum is unknown, which is thought to be related to heredity. Pectus excavatum is a progressive disease, which may be present at birth, but it often becomes more and more obvious after several months or even years and is discovered by parents. Appearance is characterized by depressed chest, shoulders extending forward, slight hunchback and protruding upper abdomen.

therapeutic method

Surgical indication

Surgical indications: symmetrical funnel chest is getting worse, HallerCT index ≥3.25 and/or funnel chest leads to respiratory symptoms and abnormal cardiopulmonary function. (1) Haller CT index ≥ 3.25; (2) Lung function suggests restrictive or obstructive airway diseases; (3) Abnormal manifestations such as incomplete right bundle branch block and mitral valve prolapse were found by electrocardiogram and echocardiography; (4) Malformation progresses with obvious symptoms; (5) The deformed appearance makes the sick child unbearable.

Traditional surgery

Surgical treatment continued until the beginning of the 20th century. 19 13 years, Sauerbruch took a more active treatment method, and removed the fifth to twelfth ribs, so that men who could not work in their father's watch factory before the operation could work and get married after the operation. This surgical method was later developed by Ravitch, and more and more surgeons used this method to treat funnel chest. Until later, Pena and haller found that such a large-scale operation would have the problem of postoperative anoxic achondroplasia, so they thought that it was not necessary to help children operate too early and should wait until puberty was fully developed. In addition, it also reduces the number of costal cartilage resection, which is called modified Ravitch operation. There are many other non-mainstream operations, such as saline bag implantation, external fixation traction, endoscopic chondrotomy and so on. ................................................................................................................................................

Suggestion: I solemnly remind you that you can't fully understand the condition because you can't see the patient face to face. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor!