CLINICAL AND FUNCTIONAL CHARACTERISTICS OF CHILDREN WITH KEEL-SHAPED DEFORMATION OF CHEST BEFORE AND AFTER SURGERY

Purpose of the study was to examine the clinical and functional characteristics of children with congenital keeled chest (CKC) prior to and following thoracoplasty. The work presents the results of examination of 84 children with CKC treated at the thoracic department of Andijan Regional Children’s Multipurpose Medical Center (Andijan, Uzbekistan) from 2007 to 2012. 72 (86%) boys with CKC predominated over 12 (14%) girls with the same diagnosis. Operations were performed with the help of thoracoplasty. Clinical and anamnestic method of examination, anthropometric methods, X-ray methods and clino-orthostatic test were used to study the activity of the sympathetic nervous system in all children. X-ray and thoracometric indices had a high correlation ratio leading to their recommendations as clinical criteria of severe chest deformity prior to operation and as a correlated index. Frequent detection of pathological types of COT (hyperdiastolic, asympathicotonic and sympathicoasthenic (56,4%)) characterized by insufficient activity of the sympathetic vegetative system is typical of children with CKC.

врожденная килевидная деформация грудной клетки, рентгенокардиометрия, клино-ортостатическая проба, торакометрия, дети, congenital keeled chest deformity, angiocardiographic measurements, clino-orthostatic test, thoracometry, children