摘要
目的总结成年漏斗胸患者行Nuss矫正术的临床经验。方法收集我科2008年7月—2009年8月行Nuss手术的22例成年漏斗胸患者,总结分析临床诊治资料。结果 (1)2例患者放2根支撑板,20例放1根,术中平均出血量(22.4±11.2)ml,手术时间为(75±21.3)min,术后卧床时间为(3.95±1.23)d,住院时间(8.9±3.1)d;(2)手术效果:患者心肺压迫受限症状消失的有效率100%;外形完全正常8例,占36%,明显改善14例,占64%;(3)发生支撑板移位2例(9%)、胸腔积液2例(9%)、气胸1例(4.4%)。结论成年漏斗胸患者接受Nuss手术能达到较好的效果,但难度较幼儿增大,由于其微创的特点,较传统术式有优势。
Objective To summarize clinical effect of Nuss technique for adult PE patient.Methods 22 adult PE patients for Nuss surgery enrolled in our department during the period of 2008.7-2009.8 were analyzed.Results（1）Among all patients,2 received 2 bars each,while others received only 1 for every one.average blood loss during surgery were（22.4±11.2）ml,average time during surgery were（75±21.3）min,average time of stay-in-bed after surgery and stay in hospital were（3.95±1.23）days、（8.9±3.1）days.（2）symptoms due to oppression by pectus excavatum disappeared after surgery,the effective rate was 100%;8 patients＇ chest wall deformity were remedied as normal,the effective rate was 36%;while other 14 patients＇ deformity were greatly improved,the effective rate was 64%.（3）Complication： bar displacement for 2 patients（9%）,pleural effusion for 22 patients（9%）,pneumothorax for 1 patient（4.4%）.Conclusion Nuss technique is a beneficial choice for adult PE patients,but with more difficulties indeed.compared with traditional technique,Nuss surgery has an advantage of minimal trauma.
出处
《临床军医杂志》
CAS
2011年第1期76-78,共3页
Clinical Journal of Medical Officers
