胸腔镜辅助下Nuss手术治疗21例漏斗胸  

Thoracoscopic Nuss procedure for the correction of pectus excavatum in 21 patients

作　　者：郁珲[1] 马海涛[1] 倪斌[1] 朱逸[1] 高瑞[1] 

机构地区：[1]苏州大学附属第一医院心胸外科,215006

出　　处：《中国综合临床》2009年第4期403-405,共3页Clinical Medicine of China

摘　　要：目的 总结胸腔镜辅助下Nuss手术治疗漏斗胸的经验。方法Nuss手术治疗漏斗胸21例，其中对称型10例，不对称型11例。均在胸腔镜辅助下完成微创手术。结果21例均顺利完成手术，平均手术时间（70．7±9．6）min，术中平均出血量（20．3±10．9）ml，术后平均住院时间（5．3±1．1）d，术后平均疼痛时间（6．9±4．0）d。优良率81．0％（17／21），其中对称型漏斗胸术后效果优良率为90．0％（9／10），不对称型为72．7％（8／11）。结论Nuss手术具有切口隐蔽、操作简便、手术时间短、术中出血少、创伤小等优点，尤其适用于广泛对称型漏斗胸。Objective To summarize the experiences of Nuss procedure with thoracoscope for repairing pectus excavatum. Methods 21 cases of pectus exeavatum were treated by Nuss procedure with thoracoscope. In these patients,10 had symmetric pectus excavatum and 11 had asymmetric one. Results The operation in all patients were successful. The mean operating time was （70.7 ± 9.6） min and the mean intraoperative blood loss was （ 20.3 ± 10.9 ） ml. The average hospital length of stay was （ 5.3 ± 1.1 ） days, the average durante dolors was （ 6.9±4.0） days. The excellent rare was 81.0% （ 17/21 ）, including 90.0% （ 9/10 ） in symmetric pectus exeavatum and 72.7% （8/11） in asymmetric pectus excavatum. Conclusion Nuss procedure is easy to perform, with minimal invasion, short operating time, and less blood loss. Nuss procedure is suitable for the symmetric pectus excavatum.

关 键 词：漏斗胸 NUSS手术 胸腔镜 

分 类 号：R726.5[医药卫生—儿科]