摘要
目的探讨青少年胸腔镜下微创漏斗胸矫形术的近期疗效。方法选取15例漏斗胸患者，其中14例为相对对称性，1例为相对非对称性，年龄6～18岁。患者气管插管全麻下双侧胸壁切口后，胸腔镜辅助下将塑形矫形板凸面向下自右胸腔经胸骨后穿至左胸腔，钢板定位、翻转以矫正畸形，矫形板两侧以1～2块固定片固定于肋骨。术后随访3～17月，观察治疗效果。结果所有患者均顺利完成手术，手术时间为30～105min，无严重并发症发生。2例单侧固定片，13例双侧固定片，无感染及固定片滑脱。术后胸廓外形改善，疗效满意。结论胸腔镜下微创漏斗胸矫形术创伤小、安全、可行；其远期效果仍需进一步评价。
Objective To investigate the short-term effects of minimally invasive thoracoscopic repair of pectus excavatum in teenage patients. Methods Fifteen cases of pectus excavatum were selected, 14 of whom were with symmetrical pectus excavantum, and 1 with asymmetrical pectus excavatum. The ages varied from 6 to 18 years. All the operations were performed under general anesthesia with endotracheal intubation. A transeverse 2 cm incisions was made in both lateral sides of the chest wall. A steel bar was passed with the convexity facing posteriorly under the sternum from the right thoracic cavity and out from the left under thoracoscopy. The bar was fixed with bilateral costal bones by using one or two stabilizing bars. The patients were followed up for 3 to 17 months, and the therapeutic effects were observed. Results The operations were successfully accomplished without intraoperative complications in all the 15 cases. The operating time ranged from 30 to 105 min. Single lateral stabilizing bar was used in 2 patients, and two stabilizing bars in the other 13. No incisional infections and stabilizing bar displacement was found in all cases. Excellent results were achieved in all the patients. Conclusion The minimally invasive thoracoscopic repair of pectus excavatum is a safe and feasible procedure, and the long-term outcome requires further investigations.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2007年第9期1148-1150,共3页
Journal of Shanghai Jiao tong University:Medical Science
关键词
漏斗胸
矫形术
胸腔镜
pectus excavatum
orthopaedics
thoracoscopy
