努氏手术（Nuss手术）后与生长突增相关的复发

Growth spurt-related recurrence after Nuss procedure.

作者信息

Ishimaru Tetsuya, Kitano Yoshihiro, Uchida Hiroo, Kawashima Hiroshi, Gotoh Chikashi, Satoh Kaori, Yoshida Mariko, Sugita Ayanori, Iwanaka Tadashi

机构信息

Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan.

出版信息

J Pediatr Surg. 2009 Aug;44(8):E13-6. doi: 10.1016/j.jpedsurg.2009.04.014.

DOI:10.1016/j.jpedsurg.2009.04.014

PMID:19635285

Abstract

We report 2 cases of growth spurt-related recurrence after Nuss procedure. Each of the 2 cases underwent bar insertion at the age of 6 and 11 years, respectively. The support bar was removed 2 years later followed by severe redepression during the growth spurt. One patient underwent redo Nuss procedure elsewhere. The other patient was diagnosed as idiopathic precocious puberty and is in treatment. The possibility of growth spurt-related recurrence must be explained to those who undergo early correction before surgery, and follow-up is mandatory at least until patients' puberty is over.

摘要

我们报告了2例Nuss手术后与生长突增相关的复发病例。这2例患者分别在6岁和11岁时进行了钢板植入。2年后取出支撑钢板，随后在生长突增期间出现严重的再凹陷。其中1例患者在其他地方接受了再次Nuss手术。另1例患者被诊断为特发性性早熟，正在接受治疗。对于那些在手术前接受早期矫正的患者，必须向他们解释生长突增相关复发的可能性，并且至少在患者青春期结束前进行随访是强制性的。