胸腔镜下行改良型Nuss术治疗对小儿漏斗胸的临床疗效及康复进程的影响

Effects of Thoracoscopic Modified Nuss Procedure on the Clinical Efficacy and Rehabilitation Process of Pectus Excavatum in Children

目的探究胸腔镜下行改良型Nuss术治疗对小儿漏斗胸的临床疗效及康复进程的影响。方法选取2022年1月—2023年8月枣庄市峄城区人民医院收治的90例漏斗胸患儿为研究对象,按随机数字表法将其分为对照组和观察组,各45例。对照组采用传统胸骨翻转术治疗,观察组采用胸腔镜下行改良型Nuss术治疗。对比两组的手术相关指标、Haller指数及并发症发生情况。结果观察组手术时间、恢复正常活动时间均短于对照组,术中出血量、术后引流量均少于对照组,组间差异有统计学意义(P<0.05);术后3个月及术后6个月,观察组Haller指数分别为(2.41±0.12)%、(1.17±0.32)%,均低于对照组的(2.77±0.75)%、(1.44±0.56)%,组间差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论通过胸腔镜下行改良型Nuss术治疗小儿漏斗胸,具有较高的手术质量,有利于患儿恢复正常活动,可有效改善患儿胸廓形态,降低术后并发症的发生风险。

Objective To explore the clinical efficacy and rehabilitation process of the modified Nuss procedure under thoracoscopy in the treatment of pectus excavatum in children.Methods A total of 90 children with pectus excavatum admitted to Yicheng District People's Hospital of Zaozhuang from January 2022 to August 2023 were selected as the research objects,according to the random number table method,they were divided into a control group and an observation group,with 45 cases in each group.The control group was treated with traditional sternal inversion,and the observation group was treated with modified Nuss procedure under thoracoscopy.The operation related indexes,Haller index and complications were compared between the two groups.Results The observation group had surgical time and recovery time of normal activities shorter than those of the control group,and the intraoperative bleeding and postoperative drainage volume were less than those of the control group,the differences between the groups were statistically significant(P<0.05);at 3 months and 6 months after operation,the Haller Index of the observation group was(2.41±0.12)%and(1.17±0.32)%,respectively,which were lower than(2.77±0.75)%and(1.44±0.56)%of the control group,and the differences between the groups were statistically significant(P<0.05);the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The modified Nuss procedure under thoracoscopy for the treatment of pectus excavatum in children has high surgical quality,which is conducive to the recovery of children's normal activities,and can effectively improve the thoracic shape of children and reduce the risk of postoperative complications.