[1]杨健,孟礼飞,肖海波*.复发性漏斗胸的外科治疗[J].中国微创外科杂志,2018,18(6):497-500.
　Yang Jian,Meng Lifei,Xiao Haibo..Surgical Treatment of Recurrent Pectus Excavatum[J].Chinese Journal of Minimally Invasive Surgery,2018,18(6):497-500.
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复发性漏斗胸的外科治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年6期
页码:
497-500
栏目:
临床研究
出版日期:
2018-09-30

文章信息/Info

Title:
Surgical Treatment of Recurrent Pectus Excavatum
作者:
杨健; 孟礼飞; 肖海波*
上海交通大学医学院附属新华医院心胸外科，上海200092
Author(s):
Yang Jian;  Meng Lifei;  Xiao Haibo.
Department of Cardiothrocic Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
关键词:
复发性漏斗胸; Nuss术; Ravitch术
Keywords:
Recurrent pectus excavatum; Nuss operation; Ravitch operation
文献标志码:
A
摘要:
目的总结复发性漏斗外科治疗的初步经验。方法2012年1月~2014年12月对23例复发性漏斗胸行二次手术：Nuss术15例，改良Nuss术6例，Nuss术联合截骨1例，Ravitch术1例。结果23例均顺利完成手术，无术中并发症。术中出血量10～150 ml,中位数20 ml。术后住院4～15 d，平均7.1 d。术后2例引流较多，积极胸腔引流加强营养等治愈。23例术后2年拆除钢板，均无复发。结论Nuss术可作为漏斗胸修复失败患者再次矫正的首选术式，疗效满意。严重畸形漏斗胸复发患者，首选Ravitch术。
Abstract:
ObjectiveTo summarize the preliminary experience of surgical treatment of recurrent pectus excavatum.MethodsA total of 23 cases of recurrent pectus excavatum treated in our hospital from January 2012 to December 2014 were reviewed retrospectively. Of the 23 cases, the Nuss method was employed in 15 cases, the modified Nuss method in 6 cases, the Nuss operation and osteotomy in 1 case, and the Ravitch operation in 1 case.ResultsThe surgery was successfully completed in all the 23 patients, without serious complications. The intraoperative blood loss was 10-150 ml (median, 20 ml). The postoperative hospital stay was 4-15 days (mean, 7.1 days). After operation, 2 cases had more drainage, which were given active thoracic drainage and nutrition. The 23 patients were given removal of steel plate at 2 years after operation, and no recurrence was seen.ConclusionsThe Nuss operation can be used as the first choice for patients with pectus excavatum repair failure. For patients with recurrence of severe deformity of pectus excavatum, the first choice should be the Ravitch operation.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：xiaohaibo@xinhuamed.com.cn
更新日期/Last Update: 2018-09-30