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漏斗胸支架取出术的手术技巧总结
刘鼎义
曾骐
陈诚豪
张娜
于洁
严冬
徐长琪
张谦
张旭
杨婷
焦京华
作者及单位信息
·
DOI： 10.3760/cma.j.cn112434-20241205-00306
Summary of surgical techniques for pectus excavatum bar removal
Liu Dingyi
Zeng Qi
Chen Chenghao
Zhang Na
Yu Jie
Yan Dong
Xu Changqi
Zhang Qian
Zhang Xu
Yang Ting
Jiao Jinghua
Authors Info & Affiliations
Liu Dingyi
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Zeng Qi
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Chen Chenghao
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Zhang Na
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Yu Jie
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Yan Dong
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Xu Changqi
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Zhang Qian
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Zhang Xu
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Yang Ting
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
Jiao Jinghua
Department of Thoracic Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children's Health, National Clinical Research Center for Respiratory Disease, Key Laboratory of Major Diseases in Children, Ministry of Education, Bejing 100045, China
·
DOI： 10.3760/cma.j.cn112434-20241205-00306
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摘要

目的回顾分析漏斗胸NUSS手术后患者的临床资料，探讨总结漏斗胸支架取出手术技巧。

方法回顾性分析北京儿童医院胸外科2024年1月至2024年9月276例行漏斗胸支架取出手术的患者临床资料。其中男211例，女65例，年龄6～20岁，支架平均放置时间36个月。

结果276例患者均顺利完成漏斗胸支架取出手术。手术历时10～60 min，平均22.6 min；出血量1～20 ml，平均3.3 ml。90例患者存在骨痂；104例存在钢丝断开，均顺利取出。术后伤口感染2例，无其他术中及术后并发症，术后平均住院1.2天。术后随访3个月并复查X线胸片未见异常。

结论掌握漏斗胸支架取出手术技巧后，手术更加安全高效，并可有效降低术中及术后各种并发症的发生率，缩短手术时间，减轻患者术后疼痛。

漏斗胸;支架取出手术;手术技巧
ABSTRACT

ObjectiveTo retrospectively analyse the clinical data of patients after NUSS procedure for pectus excavatum, and summary of surgical techniques for NUSS bar removal.

MethodsRetrospectively collected the clinical data of 276 patients undergoing NUSS bar removal from January 2024 to September 2024 in Beijing Children's Hospital affiliated to Capital Medical University. The age of the patients ranged from 6 to 20 years old, 211 males and 65 females. The average time the bar was in place in the body was 36 months.

ResultsAll 276 patients successfully completed the NUSS bar removal. The average operative time was 22.6 min, with an average blood loss of 3.3 ml. 90 patients with bone scabs, 104 patients with wire breakage were successfully removed. 2 cases of postoperative wound infection, no other intraoperative and postoperative complications. The average hospitalization time after surgery was 1.2 days. Follow up for 3 months after surgery, and no abnormalities were found on the chest X-ray.

ConclusionMastering the surgical techniques for pectus excavatum bar removal enhances the safety and efficiency of the procedure. It effectively reduces the incidence of intraoperative and postoperative complications, shortens operative time, and alleviates postoperative pain in patients.

Pectus excavatum;Bar removal;Surgical techniques
Zeng Qi Email: mocdef.3ab611-iqgnez
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引用本文

刘鼎义,曾骐,陈诚豪,等. 漏斗胸支架取出术的手术技巧总结[J]. 中华胸心血管外科杂志,2025,41(03)：151-155.

DOI:10.3760/cma.j.cn112434-20241205-00306

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漏斗胸占儿童胸壁畸形的90%以上，是最常见的胸壁畸形。自1998年NUSS医师发明了不用截骨的微创手术技术治疗漏斗胸以来，漏斗胸NUSS手术已成为目前临床治疗漏斗胸的首选手术方式，具有切口小、手术时间短、术后恢复快等优点，并可获得满意的胸廓外观，各种类型的改良NUSS手术广泛应用于临床治疗 [ 1 ]。本研究通过回顾性分析首都医科大学附属北京儿童医院行漏斗胸支架取出术患者的临床资料，总结漏斗胸支架取出术的手术技巧，报道如下。
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备注信息
A
曾骐　Email: mocdef.3ab611-iqgnez
B

刘鼎义：文章撰写，实施研究，采集数据，分析数据，统计分析；曾骐：设计实验，实施研究，对文章知识性内容作批评性审阅，获取经费，行政、技术、材料支持，指导；陈诚豪、张娜、于洁、严冬、徐长琪、张谦、张旭、杨婷、焦京华：实施研究，采集数据，分析数据

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