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漏斗胸(PE)和鸡胸是最常见的胸壁畸形,其中PE更常见,二者发病率均是男童多于女童,但PE是先天性畸形,凹陷可以压迫心肺,产生呼吸循环功能障碍。而鸡胸的发生主要与钙磷代谢异常有关,主要影响外观。二者均可通过手术予以矫正,但作为先天性畸形的PE可造成心肺功能受损,同时产生心理损害,治疗需更积极,一般3岁左右即可手术矫治,现在微创(Nuss)手术由于创伤小,矫正外观更满意,已成为矫治PE的主流术式。而鸡胸是继发病变,对心肺功能影响较小,一般主张对于畸形较明显者,可在10岁以后进行手术矫治,目前可以采用所谓的反Nuss手术进行矫正。
Funnel chest (PE) and chicken breast are the most common chest wall deformities, of which PE is more common, the incidence of both boys are more than girls, but PE is congenital malformations, depression can compress the heart and lung, respiratory dysfunction. The main occurrence of chicken breast and calcium and phosphorus metabolism related to the main impact on appearance. Both can be corrected by surgery, but as a congenital malformation of PE can cause impairment of heart and lung function, at the same time produce psychological damage, the treatment needs to be more active, usually about 3 years old can be surgical correction, and now minimally invasive surgery (Nuss) Small trauma, more satisfactory correction of the appearance, has become the mainstream of orthodontic PE treatment. The chicken breast is a secondary lesion, less impact on cardiopulmonary function, the general claim that the more obvious deformity can be corrected after surgery in the 10-year-old, so-called anti-Nuss surgery can be used to correct.