临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
15期
1285-1287
,共3页
小儿漏斗胸%微创Nuss手术%改良Ravitch手术%临床效果
小兒漏鬥胸%微創Nuss手術%改良Ravitch手術%臨床效果
소인루두흉%미창Nuss수술%개량Ravitch수술%림상효과
Pectus excavatum in children%Nuss minimally invasive repair%Modified Ravitch repair%Clinical effects
目的:比较微创Nuss手术与改良Ravitch手术治疗小儿漏斗胸的临床效果。方法选取自2003年12月至2013年12月收治的100例漏斗胸患儿,将其作为临床研究对象。按照随机数表法将其分为观察组和对照组,每组各50例。观察组患儿采取微创Nuss手术治疗,对照组患儿采取改良Ravitch手术治疗。比较两组围手术期一般情况、临床疗效及并发症发生情况。结果观察组患儿手术时间、下地活动时间、住院时间、术中出血量、引流量、切口长度均少于对照组,组间比较差异存在显著性( P ﹤0.05)。观察组术后并发症总发生率为22.0%,与对照组(20.0%)较为相近。两组患儿随访术后1年内、1~3年、﹥3年后的疗效满意度情况也较相近,组间比较差异无显著性( P ﹥0.05)。结论微创Nuss手术与改良Ravitch手术对小儿漏斗胸的治疗效果均较好,但微创矫正Nuss手术疗效较改良Ravitch手术更具有优势,具有创伤小、恢复快等优点,值得在临床上广泛应用。
目的:比較微創Nuss手術與改良Ravitch手術治療小兒漏鬥胸的臨床效果。方法選取自2003年12月至2013年12月收治的100例漏鬥胸患兒,將其作為臨床研究對象。按照隨機數錶法將其分為觀察組和對照組,每組各50例。觀察組患兒採取微創Nuss手術治療,對照組患兒採取改良Ravitch手術治療。比較兩組圍手術期一般情況、臨床療效及併髮癥髮生情況。結果觀察組患兒手術時間、下地活動時間、住院時間、術中齣血量、引流量、切口長度均少于對照組,組間比較差異存在顯著性( P ﹤0.05)。觀察組術後併髮癥總髮生率為22.0%,與對照組(20.0%)較為相近。兩組患兒隨訪術後1年內、1~3年、﹥3年後的療效滿意度情況也較相近,組間比較差異無顯著性( P ﹥0.05)。結論微創Nuss手術與改良Ravitch手術對小兒漏鬥胸的治療效果均較好,但微創矯正Nuss手術療效較改良Ravitch手術更具有優勢,具有創傷小、恢複快等優點,值得在臨床上廣汎應用。
목적:비교미창Nuss수술여개량Ravitch수술치료소인루두흉적림상효과。방법선취자2003년12월지2013년12월수치적100례루두흉환인,장기작위림상연구대상。안조수궤수표법장기분위관찰조화대조조,매조각50례。관찰조환인채취미창Nuss수술치료,대조조환인채취개량Ravitch수술치료。비교량조위수술기일반정황、림상료효급병발증발생정황。결과관찰조환인수술시간、하지활동시간、주원시간、술중출혈량、인류량、절구장도균소우대조조,조간비교차이존재현저성( P ﹤0.05)。관찰조술후병발증총발생솔위22.0%,여대조조(20.0%)교위상근。량조환인수방술후1년내、1~3년、﹥3년후적료효만의도정황야교상근,조간비교차이무현저성( P ﹥0.05)。결론미창Nuss수술여개량Ravitch수술대소인루두흉적치료효과균교호,단미창교정Nuss수술료효교개량Ravitch수술경구유우세,구유창상소、회복쾌등우점,치득재림상상엄범응용。
Objective To compare the clinical results of Nuss minimally invasive repair and modified Ravitch repair for pectus excava-tum in children. Methods One hundred children with pectus excavatum treated in our hospital during December 2003 to December 2013, were divided into observation group(n=50)and control group(n=50)according to a random number table method. Patients in observation group received Nuss minimally invasive repair;patients in the control group received modified Ravitch repair. Treatment outcomes and complica-tions of the surgeries were compared. Results Operative time,ambulation time,hospitalization time,blood loss,drainage,and incision length in observation group were respectively less than control group(all P ﹤0. 05). The overall incidence of postoperative complications in observa-tion group(22. 0%)was close to that in the control group(20. 0%). Patients satisfaction investigated during the follow-up of 1,1~3 and﹥3 years were similar between the two groups( P ﹥0. 05). Conclusion Both Nuss minimally invasive repair and modified Ravitch repair can achieve good results for the treatment of pectus excavatum in children,but Nuss minimally invasive repair has the advantages of less trauma and quicker recovery in comparison with modified Ravitch repair.