中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2012年
12期
890-893
,共4页
李帅%汤绍涛%余鋮%黄欣%阳历%王勇%童强松%毛永忠%阮庆兰
李帥%湯紹濤%餘鋮%黃訢%暘歷%王勇%童彊鬆%毛永忠%阮慶蘭
리수%탕소도%여성%황흔%양력%왕용%동강송%모영충%원경란
漏斗胸%心脏病%胸外科手术
漏鬥胸%心髒病%胸外科手術
루두흉%심장병%흉외과수술
Funnel chest%Heart disease%Thoracic surgical procedures
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55～75 min,平均(61.1±7.6)min;住院时间7～13 d,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.
目的 探討Nuss手術治療先天性心髒病(CHD)術後漏鬥胸的可行性和療效.方法 迴顧分析Nuss手術治療CHD術後漏鬥胸28例的病例資料.觀察其手術時間、住院時間、手術效果、手術前後心功能指標及術後併髮癥.結果 CHD術後漏鬥胸28例患兒行Nuss手術均順利完成.手術時間55～75 min,平均(61.1±7.6)min;住院時間7～13 d,平均(9.2±1.5)d.術中齣現心包積血、心髒壓塞1例及時予以B超下心包穿刺同時輸註冷沉澱控製瞭病情(因閤併凝血功能障礙)；氣胸2例,準備齣院複查時髮現,無明顯癥狀觀察1週齣院,1箇月後複診完全吸收.術後心髒射血分數改善顯著由平均(58.4±2.3)分上升為(61.2±3.6)分,差異有統計學意義(P＜0.05).手術效果評價優良率100％.結論 Nuss手術治療CHD術後漏鬥胸安全可行,療效滿意.
목적 탐토Nuss수술치료선천성심장병(CHD)술후루두흉적가행성화료효.방법 회고분석Nuss수술치료CHD술후루두흉28례적병례자료.관찰기수술시간、주원시간、수술효과、수술전후심공능지표급술후병발증.결과 CHD술후루두흉28례환인행Nuss수술균순리완성.수술시간55～75 min,평균(61.1±7.6)min;주원시간7～13 d,평균(9.2±1.5)d.술중출현심포적혈、심장압새1례급시여이B초하심포천자동시수주랭침정공제료병정(인합병응혈공능장애)；기흉2례,준비출원복사시발현,무명현증상관찰1주출원,1개월후복진완전흡수.술후심장사혈분수개선현저유평균(58.4±2.3)분상승위(61.2±3.6)분,차이유통계학의의(P＜0.05).수술효과평개우량솔100％.결론 Nuss수술치료CHD술후루두흉안전가행,료효만의.
Objective To explore the feasibility and efficacy in therapy of pectus excavatum using Nuss procedure after congenital heart disease operation.Methods A retrospective study was carried 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 averagely 9.2 days (ranging from 7 13 days).1 case of children was complicated with hemopericardium and cardiac tamponade,and was effectively managed by pericardial puncture under ultrasound guidance,followed by transfusion of cold precipitation (due to combined coagulation dysfunction); Asymptomatic pneumothorax was found in 2 cases,and recovery in 1 week without intervention.The ejection fraction were improved significantly in comparison of pre-operation (58.4 ± 2.3) and post-operation (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.
