Ran Xudong,Xu Yonggen,Liao Jianyi,et al.Clinical study of pectus excavatum by nonthoracoscopic assisted Nuss procedure.[J].Journal of Clinical Pediatric Surgery,2018,17(04):286-289.
非胸腔镜辅助下Ｎｕｓｓ手术治疗儿童漏斗胸的临床研究
- Title:
- Clinical study of pectus excavatum by nonthoracoscopic assisted Nuss procedure.
- Keywords:
- Funnel Chest; Nuss Procedure; Postoperative Complications; Therapy; Child
- 文献标志码:
- A
- 摘要:
-
目的 探讨非胸腔镜辅助下Ｎｕｓｓ手术治疗儿童漏斗胸的疗效与经验。 方法 ２０１１年
３月至２０１６年３月本院共收治４２例漏斗胸患儿，其中男性３６例，女性６例；年龄３岁至１５岁２个月。
所有患儿术前ＣＴ评估Ｈａｌｌｅｒ指数均≥３．４（４．３６±０．６３）。胸廓对称３０例，不对称１２例。心电图异常
１４例。术中采用两侧切口，均经右胸入路，放置１条钢板。２５例右侧固定片固定，７例双侧固定。所有
病例均用可吸收线将钢板和固定器缝合于肋骨外膜上。 结果 ４２例均顺利完成手术，平均手术时间
（７０．９８±１２．１）ｍｉｎ，术后平均住院时间（７．２４±０．８５）ｄ，３９例效果良好，２例效果不显著，１例钢板移位，
２例对钢板产生过敏反应。 结论 Ｎｕｓｓ手术治疗漏斗胸创伤小，安全性好，术后恢复快，效果良好。
- Abstract:
- ObjectiveTo summarize our experiences of correcting pectus excavatum (PE) through Nuss procedure without thoracoscopic assistance.MethodsFrom March 2011 to March 2016，42 PE patients underwent Nuss operation.There were 36 boys and 6 girls with an age range of 36 to 182 months.The preoperative CT Hailer index was≥3.4(4.36±0.63).Chest walls were symmetrical (n=30) and asymmetrical (n=12).Electrocardiogram was abnormal in 14 patients.All skin incisions were made bilaterally and introducers were placed from the right incision to the left.One bar was installed.Stabilizing clips were placed at the right side in 25 cases and the others bilaterally.Bar and stabilizing clips were also secured at the periost of rib with wire sutures.ResultsOperations were performed successfully in 42 patients.The mean procedural duration was (70.98±12.1) min and the mean postoperative hospitalization stay (7.24±0.85) days.Thirtynine cases achieved the expected results while another 2 cases failed.Bar displacement (n=1) and allergic reactions (n=2) occurred.ConclusionNuss procedure can guarantee satisfactory outcomes and surgical safety with faster recovery and minimal trauma in PE patients.
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