摘要
目的:设计一套漏斗胸(PE)新型手术器械,以提高PE手术微创操作的安全性和有效性。方法:PE新型手术器械设计采用兼具穿通和支撑作用的多功能矫形板,矫形板配备有便于操作的T型手柄、单孔专用封堵螺丝以及固定螺丝和固定片等。自2010年11月上海健康医学院附属周浦医院等多家医院将PE新型手术器械用于临床PE手术,10年间共进行1398例PE手术,其中单孔手术1078例,多孔手术320例。评估PE手术单孔术式的成功率。结果:在1398例PE手术中,887例≤12岁的PE患者全部采用单孔术式,单孔手术成功率为100%;511例中>12岁的PE患者,有191例成功运用单孔术式,单孔手术成功率为37.4%。结论:PE新型手术器械用于开展PE单孔手术和多孔手术,技术成熟,安全有效,具有较高的临床应用价值。
Objective:To design a set of new type of surgery instrument for pectus excavatum(PE),so as to improve safety and effectiveness of minimally invasive operation in surgery for PE.Methods:The design of the new type of surgical instrument for PE adopted multifunctional orthopedic board that combined both penetrating and supporting functions.The T type handle,special sealing screw for single hole,setscrew and stator,which were convenient for operation,were equipped for the orthopedic board.The new type of surgical instrument was applied in clinical PE surgery since November,2010,and a total of 1398 PE surgeries were conducted in the 10 years,which included 1078 surgeries with single hole,and 320 surgeries with multi holes.The success rate of PE surgery with single hole mode was assessed.Results:In 1398 PE surgeries,the number of PE patients,whose ages were less or equal to 12 years old,and who all adopted single hole mode,was 887 cases,and the success rate of surgery with single hole was 100%.In addition,the number of PE patients,whose age was larger than 12 years old,was 511 cases,and the surgery with single hole was successfully applied in 191 cases of them,and the success rate of surgery with single hole was 37.4%.Conclusion:The the new type of surgical instrument for PE by surgery with single hole and multi holes has mature technique,and it is safety and effectiveness,which has higher clinical application value.
作者
王强
刘金龙
刘小蓥
陶麒麟
沈晓咏
张儒舫
吴勇
Wang Qiang;Liu Jinlong;Liu Xiaoying;Tao Qilin;Shen Xiaoyong;Zhang Rufang;Wu Yong(Department of Thoracic Surgery,Shanghai University of Medicine&Health Sciences,Shanghai 201318,China;Department of Graduate School,Xinxiang Medical University,Xinxiang 453003,China;Department of Cardiothoracic Surgery,Children's Hospital of Fudan University,Shanghai 201102,China;Department of Thoracic Surgery,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;Department of Cardiothoracic Surgery,Shanghai Children's Hospital,Shanghai 200062,China;Department of Thoracic Surgery,Shanghai Yodak Cardiothoracic Hospital,Shanghai 200233,China)
出处
《中国医学装备》
2025年第5期42-47,共6页
China Medical Equipment
基金
浦东新区卫健委学科建设项目(PWZzb2022-26)。
关键词
漏斗胸(PE)
手术器械
微创手术
有效性
安全性
Pectus excavatum(PE)
Surgical instrument
Minimally invasive surgery
Effectiveness
Safety
