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目的探讨无胸腔镜辅助下改良Nuss手术治疗小儿漏斗胸的方法及疗效。方法采用改良的Nuss方法矫正漏斗胸患儿68例。结果 68例病儿手术顺利,手术时间35～55min,术中出血量5～10ml。术后住院天数约6～8d,矫形效果评定62例为优,6例为良,差0例。全部病例均获随访,随访时间5～21个月,均无明显不适,无钢板移位,矫形效果满意。结论非胸腔镜辅助下改良Nuss手术治疗小儿漏斗胸,创伤小,出血少,操作简单,恢复快,效果满意,值得推广。
Objective To explore the method and efficacy of modified Nuss surgery assisted pediatric funnel chest assisted by thoracoscope. Methods A modified Nuss method was used to correct 68 children with funnel chest. Results 68 cases of sick children smoothly, operation time 35 ~ 55min, intraoperative blood loss 5 ~ 10ml. The postoperative hospital stay was about 6 to 8 days, and the results of orthopedic surgery were 62 cases excellent, 6 cases good and poor, 0 cases. All patients were followed up for 5 ~ 21 months, no obvious discomfort, no plate shift, the orthopedic effect was satisfactory. Conclusion Non thoracoscopic assisted Nuss operation in pediatric funnel chest with less trauma, less bleeding, simple operation, quick recovery and satisfactory results are worthy of promotion.