Zeng Qi,Chen Chenghao.Mini-invasive repairing chest wall deformity comprehensively, safely and meticulously[J].Journal of Clinical Pediatric Surgery,2023,22(06):501-505.[doi:10.3760/cma.j.cn101785-202302049-001]
对如何全面、安全、细致开展微创胸壁矫形手术的思考
- Title:
- Mini-invasive repairing chest wall deformity comprehensively, safely and meticulously
- Keywords:
- Funnel Chest; Thoracic Wall; Abnormalities; Orthopedic Procedures; Minimally Invasive Surgical Procedures; Child
- 摘要:
- 漏斗胸微创Nuss手术已广泛开展30余年，总体手术的安全性、手术技术的可行性以及远期效果的优良率都已得到普遍认可。Nuss手术已经不单纯是一种治疗漏斗胸的微创手术方式，更是一种不截骨内固定的微创手术理念，该理念已成为绝大部分胸壁畸形的解决方案。本文结合近年来儿童胸壁畸形矫形手术领域的微创方法与进展进行述评，从微创手术技术的应用广度、手术的安全性以及手术治疗效果相关因素等方面进行分析，提出解决方案和建议，为小儿胸外科医师学习和应用微创手术技术治疗胸壁畸形提供参考。
- Abstract:
- Mini-invasive surgery for pectus excavatum (PE) has been widely applied for over three decades.Overall safety, technical feasibility and excellent long-term outcomes have been generally accepted.NUSS surgery is not only a mini-invasive surgical option for PE, but also a mini-invasive concept of internal fixation without osteotomy.It has become a standard procedure for chest wall deformities.This review summarized the latest mini-invasive advances in the field of chest wall orthopedics, examined the breadth of surgical techniques, safety and factors related to surgical outcomes.And recommendations were proposed for pediatric thoracic surgeons in learning to apply mini-invasive surgical techniques for chest wall deformities.
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备注/Memo
收稿日期:2023-02-28。
基金项目: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