摘要
目的总结微创胸骨沉降术(Abramson术)治疗小儿鸡胸的临床经验。方法回顾性分析2019年1月至2023年2月浙江大学医学院附属儿童医院收治的141例行微创胸骨沉降术治疗的鸡胸患儿临床资料,收集所有患儿手术情况及治疗结果。结果所有患儿均顺利完成手术,手术时间(52.9±21.7)min,术中出血量(2.7±1.8)mL。住院时间(7.4±2.1)d。所用矫形钢板长度为25.4~33.0 cm。患儿术后均外观良好,顺利恢复正常活动,无不适,患儿和家属对矫形效果满意。无一例出现严重并发症。其中85例已完成钢板拆除,钢板拆除时间术后(18.3±7.3)个月,钢板取出后胸廓保持良好,无一例复发。结论微创胸骨沉降术治疗小儿鸡胸具有安全、美观、创伤小、恢复快、复发率低等优势,应选择合适年龄和有较强手术意愿的患儿进行手术。
Objective To summarize our clinical experiences of mini-invasive surgery for pectus excavatum(PE)in children.Methods From January 2019 to February 2023,retrospective analysis was performed for clinical data of 141 PE children undergoing mini-invasive surgical repair with a modified Nuss procedure.Results All operations were successfully completed with a mean operative duration of(52.9±21.7)min and a mean intraoperative volume of blood loss(2.7±1.8)ml.The mean hospital stay was(7.4±2.1)days.And the usage length of correction bar ranged from 10 inches(25.4 cm)to 13 inches(33.0 cm).They maintained an excellent appearance,resumed normal activities and had no discomfort.The children and their families were satisfied with the correction outcomes.There were no serious postoperative complications.Among them,85 cases had a removal of correction bar with a mean removal time of(18.3±7.3)month.Chest wall regained an excellent appearance without any recurrence after removal.Conclusion Mini-invasive modified Nuss procedure for PE offers the advantages of safety,aesthetics,minimal trauma,quick recovery and low recurrence rate in children.Selecting appropriate patients with a stronger surgical aspiration is vital for successful surgery.
作者
邹晨
谭征
Zou Chen;Tan Zheng(Department of Surgery,Affiliated Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Department of Thoracic Surgery,Affiliated Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Children’s Health,Hangzhou 310052,China)
出处
《临床小儿外科杂志》
CAS
CSCD
2023年第6期525-528,共4页
Journal of Clinical Pediatric Surgery
基金
2022年度浙江省中医药科学研究基金项目(2022ZB210)
关键词
鸡胸
最小侵入性外科手术
矫形外科手术
治疗结果
Pectus Carinatum
Minimally Invasive Surgical Procedures
Orthopedic Procedures
Treatment Outcome
