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METHOD FOR SURGICAL CORRECTION OF CONGENITAL ASYMMETRIC KEELED CHEST DEFORMATION IN CHILDREN

机译:儿童先天性不对称胸部变形的手术校正方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to pediatric surgery, and can be used for surgical correction of congenital asymmetric keeled chest deformation in children. Two incisions of the skin, subcutaneous fat and muscles are performed on both sides along the lateral surfaces of the chest at the level of the greatest deformation. Further, from the cuts on both sides, tunnels are formed between the muscles and ribs in the direction of the sternum. On the side of the deformation, the tunnel ends at the edge of the sternum and on the opposite side at a distance of 2-5 cm from it. Then, in the symmetrical intercostal spaces in the region of the medial ends of the formed tunnels, one hole is made, which penetrates into the chest cavity. Then, from the side of the deformation, a conductor is passed through the formed tunnel and an opening in the intercostal space at the edge of the sternum into the chest cavity. Next, the conductor is removed from the chest cavity through a hole in the intercostal space on the side opposite to the deformation, and is carried out through the tunnel on the side opposite to the deformation. A line is drawn along the conductor, with the help of which a corrective plate, modeled according to the shape of the chest, is installed in the course of the conductor with the curved side forward. Then the plate is turned with the curved side posteriorly, creating a compressive corrective effect on the deformation. Then the ends of the plate are fixed to the adjacent ribs. ;EFFECT: method ensures reduction of trauma, achievement of reliable intraoperative correction of deformity, stable fixation, cosmetic effect, and also minimizes the risk of damage to the organs of the thoracic cavity by controlling the passage of the corrective plate by forming a tunnel in the tissues of the chest with entry into the chest cavity.;1 cl, 5 dwg, 2 ex
机译:田地:药物。物质:发明涉及医学,即儿科手术,可用于儿童先天性不对称龙骨胸部变形的手术校正。皮肤,皮下脂肪和肌肉的两个切口沿着胸部的横向表面在最大变形的水平上进行。此外,从两侧的切口,在胸骨方向上形成肌肉和肋骨之间的隧道。在变形的一侧,隧道在胸骨的边缘处并且在距离它的距离2-5厘米的相对侧。然后,在所形成的隧道的内侧区域的对称肋间空间中,制造一个孔,其渗透到胸腔中。然后,从变形的一侧,导体通过所形成的隧道和胸骨边缘的肋间空间中的开口进入胸腔。接下来,通过与变形相反的侧面的肋间空间中的孔中从胸腔中移除导体,并且通过与变形相反的一侧上通过隧道进行。沿着导体绘制线,借助于该校正板根据胸部的形状建模,安装在导体的过程中,弯曲的侧向前安装在导体的过程中。然后将板与弯曲的一侧后面转动,对变形产生压缩矫正效果。然后板的端部固定到相邻的肋。 ;效果:方法可确保减少创伤,实现可靠性术中校正的畸形,稳定的固定,化妆品效果,并且还通过在形成隧道中通过控制矫正板的通过来最小化胸腔的器官损坏的风险胸部的组织进入胸腔。; 1 cl,5 dwg,2前

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