摘要
目的探讨Nuss手术治疗先天性心脏病（CHD）术后漏斗胸的可行性和疗效。方法回顾分析Nuss手术治疗CHD术后漏斗胸28例的病例资料。观察其手术时间、住院时间、手术效果、手术前后心功能指标及术后并发症。结果CHD术后漏斗胸28例患儿行Nuss手术均顺利完成。手术时间55-75min，平均（61．1±7．6）min；住院时间7-13d，平均（9．2±1．5）d。术中出现心包积血、心脏压塞1例及时予以B超下心包穿刺同时输注冷沉淀控制了病情（因合并凝血功能障碍）；气胸2例，准备出院复查时发现，无明显症状观察1周出院，1个月后复诊完全吸收。术后心脏射血分数改善显著由平均（58．4±2．3）分上升为（61．2±3．6）分，差异有统计学意义（P〈0．05）。手术效果评价优良率100％。结论Nuss手术治疗CHD术后漏斗胸安全可行，疗效满意。
Objective To explore the feasibility and efficacy in therapy of pectus excavatum u- sing Nuss procedure after congenital heart disease operation. Methods A retrospective study was car- ried out for 28 cases of pectus excavatum undertaking Nuss procedure after congenital heart disease （CHD） operation. The operative time, hospital stay time, curative efficacy, issues for heart function in pre- and post-operation, as well postoperative complications were targeted for analysis. Children with congenital pectus excavatum were set as control and children in both group had comparable age. Results The average operation time was 61.1 min （ranging 55-75 min）, hospital stay time was aver- agely 9. 2 days （ranging from 7-13 days）. 1 case of children was complicated with hefnopericardium and cardiac tamponade, and was effectively managed by pericardial puncture under ultrasound guid- ance, followed by transfusion of cold precipitation （due to combined coagulation dysfunction）~ A- symptomatic pneumothorax was found in 2 cases, and recovery in 1 week without intervention. The e- jection fraction were improved significantly in comparison of pre-operation （58. 4 ± 2. 3） and post-oper- ation （61.2 ± 3. 6） （P〈0. 05）. Conclusions Nuss procedure is a safe and effective procedure for pectus excavatum after CHD operation in children with satisfactory efficacy.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第12期890-893,共4页
Chinese Journal of Pediatric Surgery
关键词
漏斗胸
心脏病
胸外科手术
Funnel chest
Heart disease
Thoracic surgical procedures
