非胸腔镜辅助Nuss手术矫治漏斗胸

Non-thoracoscopic Nuss procedure for correction operation of pectus excavatum

目的探讨非胸腔镜辅助Nuss手术治疗漏斗胸的手术方法和治疗经验。方法2005年9月到2007年8月对108例漏斗胸患者行非胸腔镜辅助下Nuss手术，男性91例，女性17例；年龄2岁10个月-25岁，平均年龄7岁9个月；胸廓指数3．6—10．1。结果108例患者均顺利完成手术，无术中严重并发症发生。平均手术时间40min，平均术中出血量10ml。术后患者顺利恢复出院。92例获得随访，随访时间2—21个月，矫形效果满意。结论非胸腔镜辅助Nuss手术安全可行，并且不用进入胸腔操作，手术创伤更小。

Objective To review the experience in correction operation of pectus excavatum with non-thoracoscopic Nuss procedure. Methods From September 2005 to August 2007, 108 patients with pectus excavatum were surgically corrected by non-thoracoscopic Nuss procedure. There were 91 male patients and 17 female patients. The age was from 2 years and 10 months old to 25 years old with an average of 7 years and 9 months old. The Hailer indexs were from 3.6 to 10. 1 before the operation. Results The operation in all patients had been performed successfully without any severe complications. The average time of operation was 40 minutes. The average bleeding volume during procedure was 10 ml. Uneventful recovery was achieved in all the cases. Excellent outcome was obtained in the follow-up of 2 months to 21 months in 92 patients. Conclusions Non-thoracoscopic Nuss procedure for correction of pectus excavatum is safe and effective. It is unnecessary to perform the procedure into thoracic cavity so that there is less trauma and shorter time for the operation.