临床小儿外科杂志2018，Vol.17Issue(4)：286-289,4.DOI:10.3969/j.issn.1671-6353.2018.04.011
非胸腔镜辅助下Nuss手术治疗儿童漏斗胸的临床研究
Clinical study of pectus excavatum by non-thoracoscopic assisted Nuss procedure
冉旭东 1徐永根 1廖健毅 1沈维嘉 1袁洪梁 1黄红娟 1沈啸威 1李炘1
作者信息
- 1. 苏州大学附属儿童医院心胸外科 江苏省苏州市,215000
- 折叠
摘要
Abstract
Objective To summarize our experiences of correcting pectus excavatum(PE)through Nuss procedure without thoracoscopic assistance.Methods From 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.Results Operations 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.Thirty-nine cases achieved the expected results while another 2 cases failed.Bar displacement(n=1)and allergic reactions (n=2)occurred.Conclusion Nuss procedure can guarantee satisfactory outcomes and surgical safety with faster recovery and minimal trauma in PE patients.关键词
漏斗胸/Nuss手术/手术后并发症/治疗/儿童Key words
Funnel Chest/Nuss Procedure/Postoperative Complications/Therapy/Child引用本文复制引用
冉旭东,徐永根,廖健毅,沈维嘉,袁洪梁,黄红娟,沈啸威,李炘..非胸腔镜辅助下Nuss手术治疗儿童漏斗胸的临床研究[J].临床小儿外科杂志,2018,17(4):286-289,4.
