[1]汤绍涛,王勇,毛永忠,等.胸腔镜下Nuss手术治疗小儿漏斗胸38例报告[J].中国微创外科杂志,2006,06(9):683-685.
　Tang Shaotao,Wang Yong,Mao Yongzhong,et al.Thoracoscopic Nuss procedure for the correction of pectus excavatum in 38 children[J].Chinese Journal of Minimally Invasive Surgery,2006,06(9):683-685.
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胸腔镜下Nuss手术治疗小儿漏斗胸38例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年9期
页码:
683-685
栏目:
出版日期:
2006-09-20

文章信息/Info

Title:
Thoracoscopic Nuss procedure for the correction of pectus excavatum in 38 children　
作者:
汤绍涛; 王勇; 毛永忠; 李时望; 童强松; 阮庆兰
华中科技大学附属协和医院小儿外科,武汉,430022
Author(s):
Tang Shaotao;  Wang Yong;  Mao Yongzhong;  et al.
Department ofPediatric Surgery, UnionHospital ofHuazhong Universty ofScience andTechnology, Wuhan430022, China
关键词:
漏斗胸; Nuss手术; 胸腔镜
Keywords:
Pectus excavatum; 　Nuss procedure; 　Thoracoscopy
分类号:
R726.1;R655.1
文献标志码:
A
摘要:
目的 探讨胸腔镜下Nuss手术治疗小儿漏斗胸的疗效和安全性.方法 胸腔镜监视下用穿通器在胸骨凹陷最低点水平,两腋中线之间,于胸膜外经胸骨后穿通一遂道,放置支撑板将凹陷胸骨抬起,支撑板两端安装固定器.5例使用进口器械,33例使用国产器械.结果 38例均在胸腔镜辅助下顺利完成手术,手术时间40～80 min ,平均50 min.术中出血量5～30 ml,平均16 ml.36例放置1根钢板支撑,2例放置2根钢板支撑.术后气胸4例,皮下气肿16例,右侧固定器滑脱1例,钢板轻度翻转1例.术后住院7～21 d , 平均8 d.38例随访3～22个月,平均11个月,优36例,良2例,优良率100%.结论 胸腔镜辅助下Nuss手术治疗小儿漏斗胸方法安全可靠,疗效好,手术最佳时机3～12岁.
Abstract:
Objective　To assess the efficacy and safety of the Nuss procedure in the treatment of pectus excavatum in children.　M ethods　TheNuss procedurewas performed in 38 patients. Under thoracoscopy, a convex steelbarwas inserted under the sternum through smallbilateral thoracic incisions, with the convexity facing posteriorly. When the barwas in position, itwas turned over, thereby correcting the deformity. Two lateral stabilizing barswere employed. Outof the 38 patients, imported barswere used in 5 patients and China-made barswere used in 33 patients.　Results　The procedurewas completed under thoracoscopy smoothly in all the 38 patients. The operating timewas40~80 min (mean, 50 min) and the intraoperative blood losswas5~30 ml(mean, 16 ml). A single barwas utilized in 36 patients, and a second barwas required in 2. Complications included postoperative pneumothorax in 4 patients, subcutaneous emphysema in 16 patients, bar displacement in 1 patient, and lateral stabilizer dislocation in 1 patient. The length of postoperative hospital staywas7~21 days (mean, 8 days). Follow-up checkups in the 38 patients for3~22months (mean, 11 months) showed excellent outcomes in 36 cases and good outcomes in 2 patients, the rate of excellentorgood results being 100%. Conclusions　The Nuss procedure is safe and reliable for the treatment of pectus excavatum in children. The best age range for surgerywas 3~12 years old.

参考文献/References:

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更新日期/Last Update: 2014-02-13