三明治手术在鸡胸矫形中的初步应用研究  

The preliminary experience of sandwich surgery in pectus carinatum repair

作　　者：于洁[1] 曾骐[1] 陈诚豪[1] 张娜[1] 吴宇嘉 Yu Jie;Zeng Qi;Chen Chenghao;Zhang Na;Wu Yujia(Department of Thoracic Surgery,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院胸外科,北京100045

出　　处：《中华胸心血管外科杂志》2024年第6期374-378,共5页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：北京市科学技术委员会首都临床诊疗技术研究及转化应用项目(Z211100002921034)。

摘　　要：目的明确三明治手术在微创鸡胸矫形手术中的安全性和有效性。方法回顾性分析首都医科大学附属北京儿童医院胸外科自2016年7月至2018年7月收治的79例行微创手术矫形的鸡胸患儿,其中Abramson手术组53例,三明治手术组26例。结果79例均顺利完成手术,两组在并发症发生率的差异无统计学意义。所有患者随访至支架取出术后2年,随访期间无鸡胸复发,矫形效果优良率三明治手术组高于Abramson手术组。结论三明治手术安全可行,可以达到满意的术后效果,可作为治疗伴有凹陷或矫形后出现凹陷的这类鸡胸的一种术式选择。Objective To determine the safety and efficacy of sandwich surgery in minimally invasive orthopedic surgery.Methods A retrospective analysis was performed on 79 pectus carinatum patients undergoing minimally invasive orthopedic surgery admitted to the Department of Thoracic Surgery,Beijing Children's Hospital from July 2016 to July 2018,including 53 cases in the Abramson surgery group and 26 cases in the sandwich surgery group.Results 79 cases successfully completed the operation,the difference in complication rate between the two groups was not statistically significant.All cases were followed up to two years after bar removal,and no recurrence during the follow-up period.The excellent rate of orthopedic effect in sandwich surgery group was higher than that in Abramson surgery group.Conclusion Sandwich surgery is safe,feasible and can achieve satisfactory postoperative results.It can be used as a surgical option for the treatment of pectus carinatum with depression or depression after orthosis.

关 键 词：鸡胸 微创 三明治手术 Abramson术 NUSS术 矫形 支架 

分 类 号：R655[医药卫生—外科学]