胸腔镜辅助漏斗胸矫形术与传统Nuss术治疗小儿先天性漏斗胸的疗效比较  

Comparison of efficacy of thoracoscopic assisted correction of funnel chest versus traditional Nuss procedure in the treatment of congenital funnel chest in children

作　　者：康超[1] 滕玉萍[2] Kang Chao;Teng Yuping(Department of Pediatric Surgery,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277400,China)

机构地区：[1]山东省枣庄市妇幼保健院小儿外科,277400 [2]山东省枣庄市台儿庄区人民医院眼科,277400

出　　处：《中国实用医刊》2020年第6期24-27,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨比较胸腔镜辅助漏斗胸矫形术与传统漏斗胸微创矫正术(Nuss术)治疗小儿先天性漏斗胸的疗效。方法抽取2017年6月至2019年6月枣庄市妇幼保健院收治的先天性漏斗胸患儿100例,根据随机数表法将其分为两组,每组50例。对照组行传统Nuss术,观察组行胸腔镜辅助漏斗胸矫形术。比较两组手术效果、改良单步调查表(M-SSQ)评分、围术期相关指标和并发症发生情况。结果观察组优良率高于对照组,差异有统计学意义(P<0.05);术后,两组人际关系评分比较,差异未见统计学意义(P>0.05);与对照组比较,观察组健康状况、运动能力、自我评价评分高,术中出血量少,差异有统计学意义(P<0.05);两组手术时间比较,差异未见统计学意义(P>0.05);观察组ICU滞留时间、住院时间短,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论与传统Nuss术比较,胸腔镜辅助漏斗胸矫形术对小儿先天性漏斗胸治疗效果更佳,可有效改善患儿M-SSQ评分与围术期相关指标,且安全性较高。Objective To investigate and compare the efficacy of funnel chest and traditional traditional minimally invasive funnel chest orthosis(Nuss procedure)in the treatment of congenital funnel chest in children.Methods A total of 100 cases of children with congenital funnel chest admitted to Zaozhuang Maternal and Child Health Hospital from June 2017 to June 2019 were selected and divided into two groups according to the random number table,50 cases in each group.The control group received traditional Nuss procedure,and the observation group received thoracoscopic assisted funnel thoracic orthopedics.The results of surgery,modified single step questionnaire(M-SSQ)score,perioperative indicators and complications were compared between the two groups.Results The excellent and good rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Postoperative interpersonal relationship scores between the two groups showed no significant difference(P>0.05).Compared with the control group,the observation group had higher health status,sports ability and self-evaluation score,and less intraoperative blood loss(P<0.05).There was no significant difference in operation time between the two groups(P>0.05).The length of ICU stay and length of stay in the observation group were short,and the incidence of complications was low.The difference was statistically significant(P<0.05).Conclusions Compared with the traditional Nuss procedure,thoracoscopic assisted funnel chest orthosis is more effective in the treatment of children’s congenital funnel chest.It can effectively improve the M-SSQ score and perioperative related indicators,and has higher safety.

关 键 词：漏斗胸 先天性 胸腔镜 漏斗胸矫形术 

分 类 号：R726[医药卫生—儿科]