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目的探讨胸壁微创矫形Nuss手术与传统的胸骨翻转矫形术治疗小儿漏斗胸的临床疗效。方法选择新疆医科大学第一附属医院胸外科2002年1月-2012年1月收治符合手术指征的漏斗胸患儿68例。其中采用传统的胸骨翻转矫形术37例(传统手术组),采用胸壁微创矫形Nuss手术31例(Nuss手术组)。比较两组手术时间、住院时间及术后复发率等基本情况。结果传统手术组患儿的平均住院天数为26.6d,平均手术时间为135min,术后复发率为8.1%(3/37);Nuss手术组患儿的平均住院天数为11.5d,手术用时平均45min,手术病例均成功,随访1～3a无复发病例。结论与传统胸骨翻转矫形术相比,胸壁微创矫形Nuss手术具有手术时间短、术后恢复快及复发率低的优势,值得临床推广。
Objective To investigate the clinical effect of minimally invasive reconstruction of the thoracic wall Nuss surgery and the traditional sternotomy orthosis in pediatric funnel chest. Methods The First Affiliated Hospital of Xinjiang Medical University Department of Thoracic Surgery January 2002 January 2012 admitted to the funnel in line with surgical indications 68 cases of children with chest. Thirty-seven cases (traditional surgery group) underwent traditional sternotomy orthosis and 31 cases underwent minimally invasive reconstruction of the thoracic wall (Nuss surgery group). The operation time, hospitalization time and recurrence rate were compared between the two groups. Results The average length of hospital stay was 26.6 days in traditional surgery group, the average operation time was 135 minutes and the recurrence rate was 8.1% (3/37). The mean length of stay in Nuss surgery group was 11.5 days, and the average time of surgery was 45 minutes , Surgical cases were successful, follow-up 1 ~ 3a no recurrence. Conclusion Compared with the traditional sternotomy orthosis, the minimally invasive reconstruction of the chest wall has the advantages of short operative time, quick recovery and low recurrence rate, which is worthy of clinical promotion.