摘要
目的 总结Nuss手术治疗复杂漏斗胸的临床经验.方法 2006年9月至2009年10月,采用Nuss于术治疗169例漏斗胸病儿,其中复杂漏斗胸45例,术前常规行胸部CT和心脏B超等检查.有合并症者同时行合并症矫治,极重度和严重不对称漏斗胸分别采用剑突下小切口辅助、个性化钢板、多钢板放置、斜行放置钢板等方法完成矫治.结果 45例均顺利完成手术,平均手术时间54 min,术后4例出现少量气胸或皮下气肿,术后平均住院7天.矫形效果为优秀30例,良好13例,中等2例.所有病儿均获得随访,效果满意.结论 对复杂漏斗胸术前必须完善诊断,并分别和综合采用多种改良的Nuss手术方法,可以达到较好的矫治效果.
Objective To review the clinical experiences of modified Nuss procedure and technique for complicated pectus excavatum. Methods From September 2006 to October 2009,45 children （27 boys and18 girls）, aged 3 - 16 years [mean （6.4 ± 3.5 ）years] with complicated pectus excavatum underwent modified Nuss procedure. VATS was used in 6 cases. 3 patients associated with lung cyst were treated by open surgery and 1 case with ASD was treated by Hybrid procedure.Results The surgery was successfully performed in all patients. The mean operative time was 54 minutes and the average hospital stay was 7 days. Postoperative evaluation was＂excellent＂in 30 cases , ＂good＂in 13, and＂moderate＂in 2. Conclusion Modified Nuss procedure is a safe and effective method for correction of complicated pectus excavatum.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2010年第6期393-395,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
基金
本课题受江苏省科教兴卫工程医学重点学科（实验室）项目资助（苏卫科教[2007]28号）
关键词
漏斗胸
胸外科手术
NUSS手术
Pectus excavatum
Thoracic surgical procedures
Nuss procedure
