摘要
目的:探讨微创漏斗胸矫形术(Nuss手术)矫治胸骨抬举术后复发的漏斗胸可行性和近期疗效。方法:应用Nuss手术治疗8例复发性漏斗胸患儿。在胸腔镜下将塑形矫正板由一侧胸腔经胸骨后心包裸区穿至对侧胸腔,翻转后固定于胸壁。结果:8例均顺利完成手术。手术时间30～70min(平均45min),术中损伤心包1例。无术后并发症。均术后5d出院,随访6～8月,近期效果满意。结论:胸腔镜辅助下Nuss手术是矫治抬举术后复发的漏斗胸的有效方法。
Objective：To investigate the short-term effects of minimally invasive repair of recurred pectus excavatum.Methods：Eight patients were all treated with Nuss procedure,which were performed under general anesthesia with endotracheal intubation.A transverse incision was made in each lateral chest wall and a steel bar was passed under the sternum from the right thoracic cavity under thoracoscope,then the bar was turned over to raise the sternum to the normal position.The bar was fixed to ribs by using one stabilizing bar.Results：Eight cases all got the successful operation.The operation time ranged from 30 to 70 min（average 45 min） and the post-operative hospital stay ranged from 5 to 7 days.The post-operative pain were less than 3 days and without pneumothorax and subcutaneous emphysema.No unilateral stabilizing bar displacement and incision infection were found.Conclusion：The Nuss procedure is safe and effective for the correction of recurred pectus excavatum with good short-term results.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第3期445-447,共3页
Journal of Chongqing Medical University
关键词
漏斗胸
复发
NUSS手术
胸腔镜
Pectus excavatum
Recurred
NUSS procedure
Video-assisted thoracoscopic surgery
