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通过由一个稳定器连接的两根横杆对努斯手术后反复出现的横杆移位进行成功管理。

Successful management for repeated bar displacements after Nuss method by two bars connected by a stabilizer.

作者信息

Yoshida Kotoku, Kashimura Tsutomu, Kikuchi Yuji, Nakazawa Hiroaki

机构信息

Department of Plastic and Reconstructive Surgery, Nihon University School of Medicine, Tokyo, Japan.

出版信息

Ann Thorac Med. 2019 Jul-Sep;14(3):216-219. doi: 10.4103/atm.ATM_84_19.

DOI:10.4103/atm.ATM_84_19
PMID:31333773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6611199/
Abstract

The Nuss method has become the standard surgery for the treatment of funnel chest, and good therapeutic results have been reported. Among the complications of the Nuss method, displacement of the bar is the most frequent, and there are cases in which reoperation is necessary. In this case report, we have devised a new stabilizer that connects and fixes two bars as bar displacement occurred following each of the two prior Nuss procedures, and the outcome of our procedure was evaluated.

摘要

努斯手术已成为治疗漏斗胸的标准手术方法,且已有报道称其治疗效果良好。在努斯手术的并发症中,钢板移位最为常见,甚至有病例需要再次手术。在本病例报告中,由于之前两次努斯手术均出现了钢板移位的情况,我们设计了一种新的稳定器,用于连接和固定两根钢板,并对我们手术的结果进行了评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/22478f326236/ATM-14-216-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/8551f058812d/ATM-14-216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/93f90e763552/ATM-14-216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/4fd6da10569f/ATM-14-216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/4c3a443589d6/ATM-14-216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/22478f326236/ATM-14-216-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/8551f058812d/ATM-14-216-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/93f90e763552/ATM-14-216-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/4fd6da10569f/ATM-14-216-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/4c3a443589d6/ATM-14-216-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d987/6611199/22478f326236/ATM-14-216-g005.jpg

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Successful management for repeated bar displacements after Nuss method by two bars connected by a stabilizer.通过由一个稳定器连接的两根横杆对努斯手术后反复出现的横杆移位进行成功管理。
Ann Thorac Med. 2019 Jul-Sep;14(3):216-219. doi: 10.4103/atm.ATM_84_19.
2
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本文引用的文献

1
Emerging Fixation Technique to Prevent Pectus Bar Displacement: Needlescope-Assisted 3-Point Fixation.预防鸡胸矫正棒移位的新型固定技术:针式内镜辅助三点固定法
Thorac Cardiovasc Surg. 2016 Jan;64(1):78-82. doi: 10.1055/s-0035-1556818. Epub 2015 Aug 16.
2
The bridge technique for pectus bar fixation: a method to make the bar un-rotatable.鸡胸钢板固定的桥接技术:一种使钢板不可旋转的方法。
J Pediatr Surg. 2015 Aug;50(8):1320-2. doi: 10.1016/j.jpedsurg.2014.12.001. Epub 2014 Dec 5.
3
How to avoid pectus bar dislocation in the MIRPE or MOVARPE technique: results of 12 years' experience.
如何在微创漏斗胸矫治术(MIRPE)或改良微创漏斗胸矫治术(MOVARPE)技术中避免鸡胸矫正板脱位:12年经验总结
Ann Plast Surg. 2014 Jan;72(1):75-9. doi: 10.1097/SAP.0b013e3182589607.
4
Twenty-one years of experience with minimally invasive repair of pectus excavatum by the Nuss procedure in 1215 patients.21 年微创 Nuss 手术治疗漏斗胸 1215 例经验。
Ann Surg. 2010 Dec;252(6):1072-81. doi: 10.1097/SLA.0b013e3181effdce.
5
Mechanism of bar displacement and corresponding bar fixation techniques in minimally invasive repair of pectus excavatum.漏斗胸微创修复术中肋骨移位机制及相应的肋骨固定技术
J Pediatr Surg. 2008 Jan;43(1):74-8. doi: 10.1016/j.jpedsurg.2007.09.022.
6
Early results following the Nuss operation for pectus excavatum--a single-institution experience of 383 patients.漏斗胸畸形的努斯手术早期结果——一家机构383例患者的经验
Interact Cardiovasc Thorac Surg. 2008 Feb;7(1):54-7. doi: 10.1510/icvts.2007.160937. Epub 2007 Oct 19.
7
A life-threatening complication of the Nuss procedure for pectus excavatum.漏斗胸畸形Nuss手术的一种危及生命的并发症。
Ann Thorac Surg. 2006 Jan;81(1):370-2. doi: 10.1016/j.athoracsur.2004.09.008.
8
The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients.用于漏斗胸的努斯手术:技术演变及322例患者的早期结果
Ann Thorac Surg. 2004 Jan;77(1):289-95. doi: 10.1016/s0003-4975(03)01330-4.
9
Review and discussion of the complications of minimally invasive pectus excavatum repair.微创漏斗胸修复术并发症的回顾与讨论。
Eur J Pediatr Surg. 2002 Aug;12(4):230-4. doi: 10.1055/s-2002-34485.
10
A 10-year review of a minimally invasive technique for the correction of pectus excavatum.一项关于漏斗胸微创矫正技术的十年回顾。
J Pediatr Surg. 1998 Apr;33(4):545-52. doi: 10.1016/s0022-3468(98)90314-1.