摘要
目的:探讨Nuss手术治疗漏斗胸的临床效果。方法:2008年4月～2010年10月采用胸腔镜辅助下微创Nuss矫治术治疗漏斗胸35例,男29例,女6例,平均年龄(12.23±5.7)岁,其中15～24岁15例。结果:35例均顺利完成手术,畸形均达到满意矫正。手术时间60～120 min,出血量3～15 ml,手术后住院时间5～9 d。无心包心脏损伤发生。1例切口感染钢板外露,经换药痊愈;1例切口医用胶粘合切口裂开重新缝合愈合;1例术后7个月出现钢板反应,换药至今未愈;3例术后出现气胸(2例少量未处理痊愈,1例抽气痊愈);1例双钢板植入患者1个月后复查,下钢板轻度移位。全组均获长期随访。结论:Nuss手术矫治小儿先天性漏斗胸安全有效,具有损伤小,恢复快及改善外观的优点。
Objective：To assess the clinical efficacy of Nuss procedure in correction of pectus excavatum.Methods：Between Apr.2008 and Oct.2010,we treated 35 patients with pectus excavatum by minimally invasive Nuss procedure assisted with thoracoscope.Of the 35 cases,19 were male and 6,female.The age ranged from 3 to 24,with an average of（12.23±5.7） years.Results：We successfully corrected the pectus excavatum for the total 35 patients.The operation time was from 60 to 120 min with an average of 70 min.Operative blood loss ranged from 3 to 15 ml,and hospital stay was 7 d on average（5 to 9 d）.No pericardial or heart injury occurred during the procedure.One case of incision infection resulted in plate exposure was managed by conventional dressing change,one required secondary stitches due to failure of adhesive surgical dressing and another one case refused to recover due to plate rejection in 7 month of the surgery.Pneumothorax occurred in 3 cases in whom 2 were managed conservatively and 1 by puncture.One case with double plates implantation was found plate dislocation by follow-up in 1month of the operation.Conclusion：Nuss procedure appears safe and efficacious in correction of pectus excavatum in younger patients and has advantages of quick recovery and cosmetic results.
出处
《皖南医学院学报》
CAS
2011年第6期475-476,482,共3页
Journal of Wannan Medical College
关键词
漏斗
NUSS手术
微创
Nuss procedure
pectus excavatum
minimal invasion
