胸腔镜辅助下NUSS手术10例  

NUSS procedure assisted with thoracoscope for the correction of pectus excavatum in 10 patients

作　　者：王彬[1] 刘以尧[1] 高峰[1] 王刚[1] 杨晓松[1] 吴克松[1] 

机构地区：[1]蚌埠医学院第二附属医院胸外科,安徽蚌埠233040

出　　处：《淮海医药》2011年第2期101-102,共2页Journal of Huaihai Medicine

摘　　要：目的总结胸腔镜下NUSS手术矫治漏斗胸的经验。方法 2008年8月~2010年9月,采用胸腔镜下NUSS手术矫治10例漏斗胸患者。结果本组10例患者均顺利完成手术,术中平均失血量〈10 mL。1例术后出现少量气胸;1例术后出现少量胸腔积液,均经相应的处理治愈。术后平均住院8.4 d,胸廓畸形矫正满意。矫形效果9例为优良,1例为良好。全部患者均获得随访,随访时间1~30个月,均无不适。钢板无移位,无伤害事件发生。结论胸腔镜下NUSS手术简单易行,对患者创伤小、近期矫形效果满意。胸腔镜监测可提高手术的安全性。胸腔镜下NUSS手术是一种值得推广的手术方法。Objective To summarize the early experience of modified NUSS procedure assisted with thoracoscope for the repair of pectus excavatum in patients.Methods 10 cases of pectus excavatum were treated by modified NUSS procedure assisted with thoracoscope from August 2008 to September 2010.Results The operation in all patients were successful.The average blood loss was less than 10ml.Pneumothorax and pleural effusion occurred in 1 patient respectively after operation,which were resolved by corresponding treatments.The average hospital length of stay was 8.4 days.All patients had a satisfactory deformity correction.Therapeutic results were evaluated as excellent in 9 patients and good in 1 patient.All patients were followed up for 1~30 months without any complaints.No bar displacement and injury event occurred.Conclusion Modified NUSS procedure is easy to be performed with minimal invasion and good short-term results.Thoracoscopic visualization facilitates the safety of the technique.It is worth to be recommended as a reliable procedure.

关 键 词：漏斗胸 NUSS手术 胸腔镜 

分 类 号：R682.1[医药卫生—骨科学]