单切口非胸腔镜辅助NUSS微创矫形术治疗漏斗胸  

Non-thoracoscopic minimally invasive modified Nuss procedure for treating pectus excavatum in 186 cases

作　　者：孙红文[1] 周华[1] 杨林珠[1] 雷常成[1] 尹小川[1] 太祥[1] 熊国盛[1] 洪志鹏[1] 

机构地区：[1]昆明医科大学第一附属医院胸外科,云南昆明650032

出　　处：《云南医药》2015年第3期262-264,共3页Medicine and Pharmacy of Yunnan

摘　　要：目的探索总结单切口、无胸腔镜辅助下Nuss手术纠治漏斗胸的经验。方法2007年9月-2014年12月，采用改良Nuss手术纠治186例漏斗胸患者，年龄（3．0～16．0）岁，平均年龄8．1岁。137例畸形为对称型，49例为非对称型。结果全部患者均顺利完成手术，平均手术时间32min，平均失血量少于10ml。13例少量气胸，14例少量胸腔积液，7例切口延迟愈合。术后平均住院4．5d，所有患者均未输血，胸廓畸形矫正满意。矫形效果149例优良，31例良好，6例一般。全部患者均获随访，随访时间（1—86）月，均无不适，活动量与正常的儿童相同，钢板无移位，无伤害事件发生。结论单切口、无胸腔镜辅助Nuss手术效果好。Objective To summarize the early experience of modified Nuss procedure without thoracoscope for repairing peetus exeavatum. Methods 186 pediatric pectus excavatum were treated by modified Nuss procedure without thoracoscope from September 2007 to December 2014, the age ranged from 3.0 to 16.0 years, the average age were 8.1 years.137 patients were symmetric pectus excavatum and 49 patients were asymmetric pectus excavatum. Results The operations in all patients were successful.The mean operating time was 32 min,the average blood loss was less than 10 ml.Pneumothorax occurred in 13 patients postoperatively, and pleural effusion occurred in 14 patients.The average hospital length of stay was 4.5 days.All patients had a satisfied deformity correction and no needs of transfusion.Therapeutic results evaluation showed excellent in 149 patients and good in 31 patients.All patients were followed up in 1-86 months without any complaints,and the activity ability was same as normal children.There were no bar displacement and injury event occurred.Conclusion The non-thoracoscopic minimally invasive modified Nuss procedure for treating pectus excavatum is simple,easy to be performed and safe.The effect is excellent.

关 键 词：NUSS手术 漏斗胸 非胸腔镜辅助 

分 类 号：R655[医药卫生—外科学]