改良微创漏斗胸矫治术36例临床分析

The clinical analysis of modifing minimally invasive correction surgery in foveated chest:on 36 cases report

目的观察改良微创漏斗胸矫治术的临床效果。方法选取36例漏斗胸患儿行改良微创漏斗胸矫治术(微创组),另选取38例漏斗胸患儿行传统部分胸骨肋软骨切断抬高术(传统组)。比较2组手术时间、出血量、住院时间、疼痛程度及术后并发症。结果微创组手术时间、出血量和住院时间均优于传统组,差异均有统计学意义(P<0.05);微创组疼痛率为19.4%低于传统组的57.9%,差异有统计学意义(P<0.05)。微创组术后发生少量气胸3例,传统组7例。结论改良微创漏斗胸矫治术安全可靠、创伤小、恢复快、术后不适感轻、技术简单、易于掌握,适合在基层医院开展。

Objective To observe the experience of modifing minimally invasive correction surgery in foveated chest. Methods 36 cases patients with foveated chest were selected by modifing minimally invasive correction surgery（ minimally in- vasive group） ,and the other 38 cases patients with foveated chest were selected by partial sternal cartilage off the line raise the traditional surgery（ conventional group）. Compared the operation time, amount of bleeding, hospital stay time, the level of pain and complications of two groups. Results The operation time,amount of bleeding and hospital stay time of minimally invasive group were better than that of conventional group, the difference were statistically significant （ P 〈 0.05 ） ; The pain rate in minireally invasive group （ 19.4 % ） was lower than taht in conventional group （57.9 % ） , the difference was statistically significance （ P 〈 0.05 ）. 3 cases patients of minimally invasive group occurred a small amount of pneumothorax, the traditional group occurred 7 cases. Conclusion Modifing minimally invasive correction surgery in foveated chest is safe and reliable with minimal trauma, fast recovery and mild discomfort.