胸腔镜辅助下Nuss手术治疗漏斗胸及其并发症的预防  

Nuss procedure with thoracoscope for the correction of pectus excavatum and prevention of post-operative complications

作　　者：陈家军[1] 吴宏妍[1] 张浩[1] 贺斌[1] 张增旺[1] 

机构地区：[1]湖北省襄樊市中心医院心胸外科,湖北襄樊441021

出　　处：《中国实用外科杂志》2013年第S1期51-52,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨胸腔镜辅助下Nuss手术矫治漏斗胸的优越性和临床经验。方法 2010年8月至2012年10月,共采用胸腔镜下Nuss手术矫治21例漏斗胸病人,在胸腔镜监视下将塑形之矫形钢板由一侧胸腔经胸骨后穿至对侧胸腔,翻转后固定。结果 21例病人均顺利完成手术,手术时间30~60 min,术中失血量4~10 mL。住院时间6~12 d,1例术后出现切口感染,经换药处理治愈。全部病人均获得随访,术后1~30个月随访,21例病人畸形矫正满意,1例手术1年后出现脊柱侧弯,提前拔除钢板,所有病人钢板无移位。结论胸腔镜辅助下Nuss手术治疗漏斗胸,创伤小,近期矫形效果满意,是一种值得尝试和推广的手术方法。积极预防并发症,可提高手术成功率。Objective To investigate the superiority and clinical experiences of Nuss procedure with thoracoscop. Methods From August 2010 to October 201,a total of 21 patients with pectus excavatum underwent Nuss procedure by video-assiste,A small incision was made in each lateral chest wal,a steel bar was inserted under the sternum from the right thoracic cavity,and then the bar was turned over to raise the sternum to the normal position. The bar was fixed to the lateral costal bones by using stabilizing bar.Results The operation was successful in 21 patient. The operation time ranged from 30 to 60 mi,and the blood loss was from 4 to10 m. The hospital stay was from 6 to12 day. Incision infection was found in 1 cas,which were resolved by corresponding treatment. 1 case occurred acquired scoliosis whose bar were removed ahead of tim. All patients were followed-up for 1 to 30 months with good result. No bar displacement occurre.Conclusion Nuss procedure by video-assisted is minimal invasio..The short term effect is satisfie,and it is worth to be recommended as a reliable precuedu. Actively prevent complications and improve the success rate of surger.

关 键 词：漏斗胸 NUSS手术 胸腔镜 

分 类 号：R655[医药卫生—外科学]