Phẫu thuật sử dụng Omnipore điều trị khe hở xương ức ở trẻ em: Nhân 3 trường hợp

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Tác giả: Ánh Dương Đặng, Hanh Tiệp Đặng, Thị Lý Lê, Minh Huyền Nguyễn, Minh Khôi Nguyễn, Văn Sáng Nguyễn, Duy Hiền Phạm, Mạnh Tuân Tô, Thị Tuyến Trần, Thanh Tú Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 611.723 Human anatomy, cytology, histology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 133-137

Bộ sưu tập: Metadata

ID: 498686

Thêm vào giỏ

Khe hở xương ức là một dị dạng thành ngực hiếm gặp, xảy ra do sự liền không hoàn toàn của xương ức trong thời kì bào thai. Tỉ lệ mắc 1:100 000 trẻ sinh sống và chiếm dưới 1% các trường hợp dị dạng lồng ngực. Phẫu thuật cần được thực hiện nhằm phục hồi cấu trúc giải phẫu, chức năng lồng ngực và giảm nguy cơ nhiễm trùng. Phẫu thuật nên được thực hiện trong giai đoạn sơ sinh và trẻ nhũ nhi vì sự linh hoạt của thành ngực là tối đa. Phẫu thuật có thể sử dụng trực tiếp với vạt màng sụn, trượt ghép sụn hay mảnh cơ ghép hay các vật liệu nhân tạo như Omnipore (Matrix Surgical USA-Atlanta, Georgia 30349 U.S.A.). Nghiên cứu này, chúng tôi đánh giá kết quả ứng dụng Omnipore phẫu thuật nhân 3 bệnh nhân khe hở xương ức tại Bệnh viện Nhi Trung ương. Ca bệnh: Ba ca bệnh là trẻ nam, tuổi 1-1-12 tháng, có khe hở toàn bộ xương ức ở 2 trẻ và một trẻ có khe hở hình chữ V ngược, được phẫu thuật tạo hình xương ức có sử dụng mảnh ghép Omnipore. Kết quả khám lại sau phẫu thuật 1 tháng, 3 tháng, 12 tháng cho thấy kết quả xương liền, không biến chứng. Kết Luận: Khe hở xương ức là một bệnh lý hiếm gặp. Phẫu thuật sớm quanh tuổi sơ sinh thuận lợi hơn, việc sử dụng vật liệu Omnipore hỗ trợ kết hợp xương ức cho kết quả liền xương vững và không có biến chứng, đặc biệt các trường hợp diện khe hở xương ức lớn.Sternal cleft is a rare thoracic wall deformity that occurs due to incomplete healing of the sternum during fetal period. The incidence is 1:100 000 live births and accounted for less than 1% of thoracic malformations. Surgery should be performed to restore the anatomical structure and function of the chest and reduce the risk of infection. Surgery should be performed in newborn or infancy period to optimize the chest wall flexibility. Surgery can be performed directly with meniscus flaps, sliding cartilage grafts or muscle grafts or artificial materials such as Omnipore (Matrix Surgical USA-Atlanta, Georgia 30349 U.S.A.) to help stabilize the sternum. In this study, we evaluated the results of using Omnipore surgery for 3 patients with sternal cleft at the Vietnam National Children's Hospital. Cases: Three cases are male children, aged 1-1-12 months, with a total sternal cleft in 2 children and one with an inverted V-shaped cleft, who underwent sternal reconstruction surgery using the use of sternum reconstruction using Omnipore grafts. Follow-ups at 1 month, 3 months, 12 months post-surgery showed that the bone was healed, without complications. Conclusion: Sternal cleft is a rare disease. Early surgery at newborn period is more favorable, the use of Omnipore material to support the combination of the sternum for stable and uncomplicated healing results, especially in cases of large sternum cleft.

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