Yan Dong,Zeng Qi,Chen Chenghao,et al.Application of bridge technique for pectus bar fixation during Nuss procedure[J].Journal of Clinical Pediatric Surgery,,22():747-750.[doi:10.3760/cma.j.cn101785-202303003-009]
Application of bridge technique for pectus bar fixation during Nuss procedure
- Abstract:
- Objective To summarize the experience of bridge technique for pectus excavatum (PE).Methods From July 2018 to January 2021, 25 PE children undergoing thoracoscopic Nuss procedure with fixation by bridge technique.There were 21 boys and 4 girls with a mean age of 172(125-201) month.Haller index had a mean value of 4.93(3.16-6.78).Severity was mild (n=1, <3.2), moderate (n=2, 3.2-3.5), severe (n=18, 3.5-6) and extremely severe (n=4, >6).Results There was one case of short-term postoperative complication.Bilateral pleural effusion was relieved after puncture under B-ultrasonic positioning.Two children (8%) had long-term complication of bridge connector nut and screw detachment.Both were of unilateral single fixator nut loss.Without bar displacement, appearance of chest wall was not affected.Loose nut was removed at the same time as bar removal.There was no recurrence.Conclusion The application of bridge technique for pectus excavatum is safe and effective, which can reduce the risk of bar displacement and achieve satisfactory correction effect.
References:
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收稿日期:2023-03-01。
基金项目:国家呼吸系统疾病临床医学研究中心呼吸专项（HXZX-20210501）；北京市科学技术委员会首都临床诊疗技术研究及转化应用项目（Z211100002921034）
通讯作者:曾骐,Email:zengqi-1@163.com