|国家科技期刊平台
首页|期刊导航|中外女性健康研究|漏斗胸治疗中行NUSS微创手术术后恢复效果及复发控制作用分析

漏斗胸治疗中行NUSS微创手术术后恢复效果及复发控制作用分析OA

Fundamental chest treatment NUSS minimally invasive recovery effect and recurrence control effect analysis

中文摘要英文摘要

目的:探讨NUSS微创手术在漏斗胸患儿中的应用效果.方法:选择 2019 年 1 月至 2021 年 12 月本院收治的 52 例漏斗胸患儿,根据随机数表法将其分为A组和B组,每组 26 例,A组予以改良Ravitch手术治疗,B组采用微创Nuss手术治疗.观察两组疗效、心功能水平、围术期恢复及术后复发情况.结果:B组总有效率(100.00%)与A组(96.15%)差异不明显(P>0.05);两组患儿术后 1 周各项心功能指标均高于本组术前,且B组左室射血分数(LVEF)及每搏输出量(SV)水平高于A组,差异明显(P<0.05);B组术中出血量少于A组,手术切口长度小于A组,且术后下床活动时间及住院时间较A组短,差异显著(P<0.05);两组并发症发生率比较差异不明显(P>0.05);B组术后 1 年复发率发生率较A组低,差异明显(P<0.05).结论:NUSS微创手术及改良Ravitch手术为临床治疗漏斗胸患儿有效的、安全的术式,但前者更有助于促进患儿术后恢复,且对于控制患儿术后复发更具优势.

Objective:To explore the application effect of NUSS minimally invasive surgery in children with funnel chest.Meth-ods:Choose 52 children who were treated in the hospital from January 2019 to December 2021,and divided them into group A and group B according to the random number table method.Each group was 26 cases.Group A was improved.Group B uses minimally invasive NUSS surgical treatment.Observe the two sets of curative effects,levels of heart function,recovery of peri-operative period,and postoperative recurrence.Results:Group B's total effective rate(100.00%)and group A(96.15%)are not obvious(P>0.05);the various heart function indicators of the two groups of children's 1 week after surgery are higher than before this group,and b Group left ventricular ejaculation score(LVEF)and each pace output volume(SV)level is higher than that of group A,with obvious differences(P<0.05);the bleeding amount during group B surgery is less than group A,the length of the surgical incision is less than group A,and the length of the surgical incision is less than the A,and the length of The activity time and hospitalization time after the operation were shorter than that of group A,and the difference was sig-nificant(P<0.05);the incidence of complications of the two groups was not obvious(P>0.05);The group is low and the difference is obvious(P<0.05).Conclusion:NUSS minimally invasive surgery and improvement of Ravitch surgery are effec-tive and safety surgery of children with funnel chests in clinical treatment.However,the former is more helpful to promote postoperative recovery,and it is more advantageous for controlling children's postoperative recurrence.

蒋寅;刘连波;唐振霆;范明;郑俊强;王若男;刘峰

无锡市儿童医院心胸外科,江苏 无锡 214023无锡市人民医院胸外科,江苏 无锡 214023

临床医学

漏斗胸NUSS微创手术改良Ravitch手术

Fully chestNuss minimally invasive surgeryImprovement of Ravitch surgery

《中外女性健康研究》 2024 (003)

21-24 / 4

评论