微创Nuss手术治疗儿童漏斗胸的研究进展

漏斗胸是一种胸壁凹陷性畸形,Nuss手术是治疗漏斗胸的一种微创手术,具有创伤小、操作简便、并发症少、手术效果良好等优点,已成为治疗漏斗胸的首选术式。随着Nuss手术的不断改良以及腔镜技术的提高,Nuss手术的适用范围不断扩大,胸腔镜辅助Nuss手术在临床应用广泛。作者在Pubmed、万方数据、中国知网等数据库,以漏斗胸、Nuss手术、手术治疗为关键词,查阅相关文献,将微创Nuss手术治疗漏斗胸的概况、技术要点、争议及改良方法等作一综述。虽然Nuss手术的发展给漏斗胸患儿带来福音,但其临床应用的具体问题和中远期疗效仍需进一步研究。

Research advances of mini-invasive Nuss operation in the treatment of pectum excavatum in children

Pectum excavatum(PE) is one kind of chest wall pitting deformity.As a primary mini-invasive operation for PE,Nuss procedure offers multiple advantages,such as minimal trauma,simple handling,fewer complications and better outcomes.With constant developments of Nuss operation and technological improvements of thoracoscope,applicable scope of Nuss procedure has expanded further.Thoracoscope-assisted Nuss technique is widely employed in clinical practices.The keywords of " pectum excavatum"," Nuss procedure" and "surgical treatment" were searched within the databases of PubMed,Wanfang and CNKI.After consulting the relevant literatures,overviews,operating procedures,technical controversies and modified methods were summarized.The development of Nuss operation has brought great benefits to PE patients.However,its practical problems and medium/long-term efficacies require further studies.