摘要
目的探讨胸腔镜辅助微创漏斗胸矫形术(Nuss术)在先天性漏斗胸(PE)患儿中的应用效果。方法选择本院2020年6月—2022年10月收治的82例先天性PE患儿为研究对象,按照随机数字表法将其分为对照组与观察组,每组41例。对照组采用传统改良Ravitch手术,观察组采用胸腔镜辅助Nuss术。比较两组患者的术后恢复情况、手术效果、并发症发生情况及家属满意度。结果观察组重症监护病房滞留时间(8.53±1.34)h、住院时间(5.77±1.13)d均短于对照组,组间差异有统计学意义(P<0.05)。术后6个月,观察组手术优良率92.68%高于对照组的73.17%,差异有统计学意义(P<0.05)。观察组并发症发生率4.88%低于对照组的24.39%,家属满意度95.12%高于对照组的78.05%,组间差异有统计学意义(P<0.05)。结论与传统改良Ravitch手术相比,胸腔镜辅助Nuss术能够有效提高先天性PE患儿手术效果,减少并发症,促进术后恢复,进而获得较高家属满意度。
Objective To investigate the impact of thoracoscopic assisted minimally invasive pectus excavatum correction(Nuss)in children with congenital pectus excavatum(PE).Methods 82 children with congenital PE admitted to our hospital from June 2020 to October 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group underwent traditional modified Ravitch surgery,and the observation group underwent thoracoscopic assisted Nuss surgery.The postoperative recovery,operation effect,complications and family satisfaction of the two groups were compared.Results The intensive care unit stay time(8.53±1.34)h and hospitalization time(5.77±1.13)d in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).6 months after surgery,the excellent and good rate of operation in the observation group was 92.68%higher than 73.17%in the control group,the difference was statistically significant(P<0.05).The complication rate of the observation group was 4.88%,lower than 24.39%in the control group,and the family satisfaction rate of the observation group was 95.12%,higher than 78.05%in the control group,the differences between groups were statistically significant(P<0.05).Conclusion Thoracoscopic assisted Nuss surgery can effectively improve the surgical effect of congenital PE in children,reduce complications,promote postoperative recovery,and ultimately achieve high family satisfaction.
作者
张衍年
ZHANG Yannian(Department of Cerebral Surgery,Jinan Third People's Hospital,Jinan Shandong,250101,China)
出处
《反射疗法与康复医学》
2023年第18期82-85,共4页
Reflexology And Rehabilitation Medicine
关键词
先天性漏斗胸
胸腔镜
漏斗胸矫形术
术后恢复
手术效果
并发症
Congenital funnel chest
Thoracoscopy
Funnel chest correction surgery
Postoperative recovery
Surgical effect
Complications
