微创Nuss手术治疗小儿漏斗胸(附44例报告)

The minimally invasive Nuss procedure for the correction of pectus excavatum in 44 children

目的探讨微创Nuss手术治疗小儿漏斗胸的优越性。方法2007年6月至2008年7月采用微创Nuss手术治疗小儿漏斗胸44例,男36例,女8例;年龄2岁11个月～16岁,平均(6.25±3.07)岁,Haller指数为2.7～8.3。结果本组44例均顺利完成手术,畸形均得到满意矫正,平均手术时间60min,术后平均住院时间7d,所有患者术后常规置镇痛泵3d,仅1例出现切口感染,并发症发生率2.3%。结论微创Nuss手术治疗小儿漏斗胸具有创伤小、出血少、恢复快、效果满意、方法安全可靠。

Objective To discuss the advantages of the minimally invasive Nuss procedure for the correction of pectus excavatum in children. Methods 44 patients （ 36 male and 8 female, aged from 2 years and 11 months to 16 years, mean 6.25 ± 3.07 years and in Hailer index from 2.7 to 8.3 ） with pectus excavatum underwent Nuss procedure from June 2007 to July 2008. Results The operation was success- fully completed and had good outcome, the mean operation time was 60 minutes. After the procedure, the mean hospitalization time was 7 days with the use of PCA pump 3 days. Incision infection occurred in one patient and the rate of complications was 2.3%. Conclusion The Nuss procedure has the advantages of minimal invasion, less bleeding, rapid recovery, satisfied clinical effect , which t is safe and reliable for the treatment of pectus excavatum in children.