摘要
目的：总结18例电视胸腔镜辅助NUSS手术的处理经验,探讨NUSS术后近期疗效和并发症的预防和治疗。方法：2006年12月至2007年9月共施行了18例电视胸腔镜下NUSS手术治疗漏斗胸,其中传统手术后复发5例。结果：18例患者手术时间30-70 min,平均45 min,均于术后5-7 d出院。患者胸廓畸形明显改善。其中1例术中损伤心包,1例术后出现伤口液化以及部分肺不张,经治疗后均痊愈。结论：NUSS手术具有微创、美观、手术时间短、操作简单等优点,近期效果满意,远期效果还需进一步观察。围术期正确的处理可减少并发症。
Objective To review the management of USS procedure by video-assisted thoracoscopy for the correction of pectus excavatum in 18 patients, and to prevent and treat some complications. Methods Eighteen patients with severe pectus excavatum underwent NUSS procedure by video-assisted thoracoscopy from December 2006 to Septmber 2007. Results The operation time ranged from 30 to 70 min （ average 45 min ）. Good results were achieved for all patients after the operation. All of them recovered and were discharged 5 - 7 days after the operation. Minor complications occurred in 2 patients. Conclusion NUSS procedure is microinvasive and has beautiful outlook with shorter operation time and simple handling. The minimally invasive technique has a low complication rate with satisfactory short-term result. Proper management is important for the recovery at the early postoperative stage.
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2008年第5期443-447,共5页
Journal of Central South University ：Medical Science
关键词
胸壁畸形
漏斗胸
胸腔镜
NUSS手术
并发症
pectus excavatum
thoracoscopy
postoperative complication
NUSS procedure
