儿童漏斗胸Nuss手术最佳手术年龄研究进展  

Progress on the optimal age for Nuss procedure in children with pectus excavatum

作　　者：李明(综述)[1] 潘征夏(审校)[1] Li Ming;Pan Zhengxia(Department of Cardiothoracic Surgery,Children′s Hospital Affiliated to Chongqing Medical University,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院胸心外科,400014

出　　处：《国际儿科学杂志》2019年第12期887-890,共4页International Journal of Pediatrics

摘　　要：漏斗胸是儿童最常见的先天性胸廓畸形,手术为目前最为有效的治疗方法,Nuss手术凭借其微创优势逐渐成为目前矫正漏斗胸的主流术式。尽管Nuss手术已在临床工作中得到广泛应用,但该术式最佳手术年龄仍存在较大争议,各国儿外科医生始终未形成统一标准。国外多以青春期开始或开始后为主,而国内学者多主张尽早对漏斗胸患儿进行手术治疗,即3~6岁或学龄期。该文从手术效果及术后并发症等方面就儿童漏斗胸行Nuss手术最佳年龄的相关研究现状做一综述。Pectus excavatum is the most common congenital deformity of the chest wall in children.Currently,surgery remains to be the most effective treatment available for this disease.The Nuss procedure has become the most widely used technique in clinical work since 1998.However,the optimal operation time remains controversial,no consensus exists among surgeons.Mostly,surgeons from western countries believe it′s best to repair the deformity around the time of puberty,while Chinese surgeons prefer to perform the surgery earlier,mainly at three to six years old,or around school age.Hence,this review was carried out to summarize the surgical results and postoperative complications of Nuss procedure among different age groups,purposed to offer a reference for the rational decision of pediatric surgeons.

关 键 词：漏斗胸 儿童 NUSS手术 年龄 

分 类 号：R72[医药卫生—儿科]