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Objective To explore the clinical efficacy of modified twin-incision thoracoscopic Nuss procedure for pediat-ric pectus excavatum.Methods A retrospective review was performed for the clinical data of 50 cases of pectus excavatum from July 2017 to May 2016.There were 30 boys and 20 girls with an average age of 6.5( 3.3-16.0) years.All of them un-derwent modified twin-incision thoracoscopic Nuss procedure.Average haller index was 3.0-6.9.Pectus excavatum 35 cases , asymmetric pectus excavatum 15 cases.Results 50 cases procedures were successfully completed .Operative duration was( 60 ±15) min, intraoperative blood loss( 5 ±2) ml, without serious complications during and after operation, and the average postoperative hospitalization stay(6 ±1) days, the postoperative effect was successfully, during follow-up from 7 months to 17months after the operation.Conclusion Modified twin-incision thoracoscopic Nuss procedure with is both safe and effective for pediatric pectus excavatum.With the advantages of shorter operative duration,mini-invasiveness,fewer complications and excellent cosmetics,it is worthy of wider popularization.
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Objective To investigate the efficacy of Esculin and Digitalisglycosides eye drops on asthenopia caused by presbyopia.Methods A total of 120 cases with asthenopia caused by presbyopia was randomly divided into two groups.The observation group (n =60 cases) was treated with Esculin and Digitalisglycosides eye drops,and the control group (n =60 cases) was treated with Naphazoline Hydrochloride,Chlorphenamine Maleate and Vitamin B12 eye drops,1 drop into each eye 3 times daily for 1 month.The symptoms of asthenopia,visual acuity,refraction,intraocular pressure,and safety evaluation were compared between two groups.Results Fifty seven cases in the observation group and 55 cases in the control group were observed after removal of data shedding cases.After treatment,asthenopia in both groups was significantly improved,observation group was significantly higher than control group (P ＜ 0.05).There was no statistical significance (P ＞ 0.05) between two groups after treatment in visual acuity,refraction,intraocular pressure and safety evaluation.Conclusions Esculin and Digitalisglycosides eye drops can effectively relieve symptoms of asthenopia caused by presbyopia,which is safe and convenient.It can be used in the clinical future.