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目的探讨临床治疗小儿漏斗胸的手术治疗方法,总结最佳治疗方案。方法回顾性分析2009年2月-2011年10月笔者所在胸腔科收治的小儿漏斗胸患者90例临床资料,随机分为Ravithch组和Nuss组。重点对比观察两组手术时间、术中出血量、术后呼吸机辅助时间及住院时间等,评价两组治疗效果。结果 Nuss组在平均手术用时、术中出血量、术后呼吸机辅助耗时及术后出院时间等指标上均优于Ravithch组(P<0.05或0.01);两组优良率差异不明显,无统计学意义(P>0.05)。结论相较于Ravithch手术,微创Nuss方案更为手术用时更短,创伤更小,术中出血量更少,安全性和远期疗效更佳。
Objective To investigate the surgical treatment of pediatric funnel chest and summarize the best treatment plan. Methods A retrospective analysis of 90 cases of pediatric funder chest treated by thoracic department from February 2009 to October 2011 was randomly divided into Ravithch group and Nuss group. Focus on comparing two groups were observed operation time, intraoperative blood loss, postoperative ventilator support time and hospital stay, etc., to evaluate the treatment effect of both groups. Results Nuss group was superior to Ravithch group in the mean operative time, intraoperative blood loss, postoperative ventilator-assisted time and postoperative discharge time (P <0.05 or 0.01). There was no significant difference between the two groups Statistical significance (P> 0.05). Conclusions Compared with Ravithch’s surgery, the minimally invasive Nuss regimen has shorter operative time, less trauma, less intraoperative blood loss, and better safety and long-term efficacy.