NUSS surgery helps "funny chest" patients with their heads up

NUSS surgery is the minimally invasive funnel chest correction of thoracoscopy.

"Fully chest" refers to the depression of the shape of a funnel -like shape in the direction of the thorax in the direction of the thoracic, accounting for more than 90%of the thoracic deformity of the pediatric. The incidence is about 0.1%-0.3%, and the incidence of men is higher than women. The proportion is about 4: 1, which is a congenital disease.

"Fully chest" will directly affect the child's development, and even compress the cardiopulmonary, the heart compressor, affects the respiratory function, which will cause panic, shortness of breath, dyspnea, and even heart failure. Some severe funnel chest deformed children will also have spinal bending.

The 13 -year -old junior high school student was very handsome, but he had been confident because he found that his chest was different from others. Starting from elementary school, his sternum was depressed inward, resembling "funnel", and in recent years, he has continued to increase, and the depression has become more obvious.

A few years ago, Xiao Yan and his parents mentioned their own abnormalities, but the parents did not care too much at that time. They thought that the child was too thin and grew up. In fact, such a "different" make children have a humpback all day and is unwilling to associate with others. In severe cases, it will also affect cardiopulmonary function.

Children's chest wall deformity is not because "too thin" can't afford the chest! Parents here: Please pay attention to the problem of children's chest wall deformity.

In the summer vacation, Xiao Yan and his parents came to our hospital thoracic surgery. His "funnel chest" is relatively serious, and the direction of the thoracic to the spine has obvious depression. If it is not corrected in time, continuing development may affect cardiopulmonary function and cause physical physiological and psychological damage.

Due to the strong willingness to surgery and the normal operation indicators of the patient, after sufficient preoperative discussions and communication, they decided to make a minimally invasive funnel chest correction (NUSS surgery) for their thoracoscopy.

Due to severe sternum depression, the gap between the heart is very narrow, and the difficulty of surgery and risks increase. NUSS surgery opened a small hole of about 2cm on the left and right chest walls of the child. Under the guidance of thoracoscopy, various complications risk brought by blind penetration were avoided. Gow -shaped steel plates with a thickness of 0.3 cm accurately pass through the gaps of the sternum and the heart, successfully reached the left side to achieve flipping, fixing, raising the sternum, keeping the thorax complete and stable, and obvious surgical effects. The side chest wall incision is hidden, the surgical trauma is small, and the recovery is fast.

After surgery, there is no effect on daily life. Children can still jog, swim, etc., but have limited restrictions on high -intensity and confrontation, such as playing basketball and playing football. Gow -shaped steel plates are generally left in the body for 2 and a half years to 3 years. After the bones are reshaped and stable, they can be taken out after surgery. The child can "stand up and hold the chest" life and study like his peers.

Realize that parents are solemnly reminded: If the child's thorax is abnormal, seek medical treatment in time to avoid delay treatment. Children with funnel breasts are concentrated at 8-14 years old, and the best time to surgery is 6-12 years old. It is generally believed that it can be relaxed to 15-16 years old, and aging patients can also perform surgery. If the symmetrical funnel of childhood is not corrected in time, it may be transformed into asymmetry after 12 years of age, and rib cartilage growth is not coordinated.

Puyang People's Hospital's cardiac surgery is a key discipline and municipal discipline in Henan Province. In recent years, the department has followed the forefront of the discipline at home and abroad. At present, routine laparoscopy combined with esophageal cancer, thoracoscopic pulmonary section resection, and thoracoscopic lung lobe and general pulmonary resection, hypertrophy tumor, alveolar, bonding formation, bronchial pulmonary cuff formation, composite composite, composite Various minimally invasive surgery such as lobe cutting surgery. Its first heart disease surgery (lack of room, room deficiency, arterial catheter unclean, etc.), coronary vein bridge, cardiac valve replacement and other complex heart disease surgery areas leading.

Source: Puyang People's Hospital

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