漏斗胸单孔矫形术203例临床分析  

Uniportal Procedure for the Correction of Pectus Excavatum in 203 Patients

作　　者：曹睿[1] 王强 吴勇 万来忆 曾光[1] 徐文举[1] 彭寿行 肖明第 

机构地区：[1]新乡医学院,河南新乡453003 [2]上海远大心胸医院胸外科,上海200235

出　　处：《中国胸心血管外科临床杂志》2016年第12期1158-1161,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的 总结单孔矫形术治疗漏斗胸的手术方法,临床经验,安全性及有效性。方法 回顾性分析2010年11月至2015年11月我科经右胸壁约2cm切口行漏斗胸矫形术203例患者的临床资料,男164例、女39例,年龄2-19（5.7±3.0）岁,其中12岁及以下患儿188例,12岁以上15例,根据Park分型,对称型176例,非对称型27例。结果 全组手术顺利,手术时间4-65（16.1±5.2）min,术后住院时间4-14（6.4±1.3）d。全组均为右侧单切口,植入1根矫形板。术后平均随访27.6（1-56）个月,无矫形板翻转、移位、胸骨再次凹陷等并发症发生。84例患者已行二期矫形板取出术,无1例漏斗胸复发。结论 漏斗胸单孔矫形术在手术时间及手术创伤方面均优于Nuss手术,并且在安全性和效果方面不亚于Nuss手术,尤其适用于12岁以下小儿漏斗胸的矫治。Objective To summarize the clinical experience and investigate the safety and reliability of uniportal procedure for the correction of pectus excavatum （PE）. Methods From November 2010 to November 2015, 203 PE patients （164 males, 39 femalzs average age of 5.7±3.0 years, ranging from 2 to 19 years） underwent the correction operation with only single 2 cm incision on right lateral chest. There were 188 patients under 12 years of age and 15 patients above 12 years. According to Park classification, 176 patients were symmetric and 27 were asymmetric. Results All operations were performed successfully. The average operating time was 16.1±5.2 min with a range of 4-65 min and the average postoperative hospital stay was 6.4±1.3 d, ranging from 4-14 d. A single incision was made on the right chest and only one bar was inserted in the patients. Postoperative follow-up was 1-56 months （mean, 27.6 months）. There was no complication occurred such as bar turnover, displacement and redepressed sternum. Totally, 84 patients received bar removal procedure. Conclusion In terms of operation time and surgical trauma, uniportal procedure for PE is superior to Nuss procedure. And there is no significant difference in the safety and effectiveness between two procedures. Uniportal procedure is especially suitable for the treatment of PE children under 12 years of age.

关 键 词：单孔矫形术 漏斗胸 NUSS手术 

分 类 号：R726.5[医药卫生—儿科]