微创漏斗胸矫形术治疗漏斗胸的效果探讨  

Discussion on the Effect of Minimally Invasive Repair of Pectus Excavatum in Treating Pectus Excavatum

作　　者：白剑[1] 梁劲文 高卫华[1] 梁萍宝 吴敏秋[1] 

机构地区：[1]佛山市南海区妇幼保健院,广东佛山512236

出　　处：《临床医学工程》2017年第6期791-792,共2页Clinical Medicine & Engineering

摘　　要：目的探讨微创漏斗胸矫形术治疗漏斗胸的效果。方法收集2015年1月至2017年1月收治的60例施行微创漏斗胸矫形术的先天性漏斗胸患者作为观察组,另选择同期60例施行传统胸骨抬高术的先天性漏斗胸患者作为对照组,观察和比较两组患者的切口长度、术中出血量、手术时间、住院时间、治疗总有效率、并发症发生率。结果与对照组相比,观察组的切口长度明显更短,术中出血量明显更少,手术时间、住院时间明显更短,差异具有统计学意义(P<0.05)。观察组的治疗总有效率为93.33%,显著高于对照组的70.00%(P<0.05)。观察组的术后并发症发生率为10.00%,显著低于对照组的33.33%(P<0.05)。结论微创漏斗胸矫形术治疗漏斗胸的效果显著,可有效减少手术创伤,缩短治疗时间,有利于改善患者的预后,促进患者术后恢复,值得临床广泛应用及推广。Objective To discuss the effect of minimally invasive repair ofpectus excavatum in treating pectus excavatum. Methods 60 cases of patients with minimally invasive repair of pectus excavatum from January 2015 to January 2017 were selected as observation group, and another 60 cases of patients with traditional ravitch procedure at the same period were selected as control group. The length of incision, intraoperative blood loss, operation time, hospitalization time, efficiency of treatment and the incidence of complications were observed and compared between two groups. Results Compared with the control group, the observation group had significantly longer length of incision, less intraoperative blood loss, and shorter operation time and hospitalization time （P 〈0.05）. The total effective rate of treatment of observation group was 93.33%, significantly higher than the 70.00% of control group （P 〈0.05）. The incidence of postoperative complications of observational group was 10.00%, significantly lower than the 33.33% of control group （P 〈0.05）. Conclusions Minimally invasive repair ofpectus excavatum has remarkable effect, which can effectively reduce the surgical trauma, shorten the treatment time, and help to improve patients＇ prognosis and promote patients＇ postoperative recovery. It deserves clinical application and promotion.

关 键 词：微创漏斗胸矫形术 漏斗胸 临床外科 效果 

分 类 号：R655.1[医药卫生—外科学]