引用本文:张 鸿.反NUSS手术治疗小儿鸡胸15例体会[J].中国临床新医学,2019,12(6):660-662.
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反NUSS手术治疗小儿鸡胸15例体会
张 鸿
650228 云南,昆明市儿童医院心胸外科
摘要:
[摘要] 目的 总结该院开展的小儿鸡胸微创治疗方法、效果及临床体会。方法 基于NUSS手术原理的反NUSS手术治疗小儿鸡胸共15例,男12例,女3例;年龄8.5~14.0(10.17±2.70)岁。采用NUSS手术的矫形钢板植入胸骨表面,钢板下压将凸起的胸骨压平矫治畸形。结果 15例患儿均成功手术,平均手术时间为105 min,无严重并发症发生,出血量少;15例患儿行反NUSS手术后胸廓畸形均明显改善,效果好。随访4~24个月,矫形效果稳定、满意,无钢板移位发生。结论 微创反NUSS手术治疗小儿鸡胸安全、可行、效果满意。最佳手术年龄为6~16岁;远期效果以及远期患儿胸骨及肋骨是否会继续畸形生长发育尚需要观察。
关键词:  反NUSS手术  鸡胸  胸廓畸形
DOI:10.3969/j.issn.1674-3806.2019.06.21
分类号:R 726
基金项目:
Opposite NUSS operation for the correction of pectus carinatum in children: a report of 15 cases
ZHANG Hong
Department of Cardiothoracic Surgery, Kunming Children′s Hospital, Yunan 650228, China
Abstract:
[Abstract] Objective To summarize the treatment experience of opposite NUSS operation on the children with pectus carinatum in Kunming Children′s Hospital. Methods Fifteen cases of pectus carinatum were performed opposite NUSS operation, including 12 cases of male children and 3 cases of female children with an age range of 8.5~14.0 years[average (10.17±2.70) years]. Opposite NUSS operation was performed to put an orthopedic steel plate on the sternum surface, and the curved steel plate was pressed downward, and then the sternum was raised and flattened. Results All the 15 cases were operated successfully, and the average operation time was 105 minutes and a little bleeding occurred. No serious complications were observed. The 15 patients had a good postoperative effect. After a follow up of 4~24 months, the effect was stable and satisfactory. No steel plate displacement occurred. Conclusion Opposite NUSS operation is safe and feasible for pectus carinatum in children, and the surgical effect is statisfactory. The optimal age for the surgery is 6~16 years. However, the long-term results of the surgery and whether the deformed sternums continue to develop still need to observe.
Key words:  Opposite NUSS operation  Pectus carinatum  Chest deformity