NUSS手术矫治先天性漏斗胸102例

NUSS procedure for pectus excavatum repair in 102 patients

目的 总结胸腔镜辅助下NUSS手术矫治先天性漏斗胸的手术经验.方法 2007年10月至2009年7月共实施漏斗胸矫治术102例,其中男80例,女22例,年龄1岁11个月至14岁,平均年龄6.2岁,对4例极重度漏斗胸患儿采取剑突下小切口联合NUSS手术矫治,其余病例采取胸腔镜辅助下NUSS手术.结果 102例均顺利完成手术,术中平均出血量为10 mL,均于术后5～7 d痊愈出院,胸廓外观满意;1例术后出现伤口排异反应,予清理伤口、换药治疗后痊愈,1例突发张力性气胸子胸腔闭式引流后痊愈,患儿均获随访,胸廓外观满意,无不适.结论 胸腔镜辅助下NUSS手术治疗先天性漏斗胸操作简单,创伤小,外型美观,术后恢复快,近期疗效满意,远期疗效待观察.

Objective To summarize and explore experiences of NUSS procedure by video-assisted for correcting Pectus excavatum. Methods From October 2007 to July 2009, a total of 102 patients with pectus excavatum （ 80 males and 22 females ） underwent NUSS procednre by video-assisted, ages ranged from 23 months to 14 years with a median of 6.2 years, except of four very severe pectus excavatum undergoing with the NUSS surgery and small incision under xiphoid, the rest underwent the minimally invasive technique of NUSS procedure by videg-assisted. Results 102 patients were successfully completed surgery, the intraoperative blood loss was less than 10 ml, with the time staying in hospital both at 5 - 7days,there were satisfied appearance of thorax. Conclusion Nuss procedure with video-assisted is simple safe, minimal invasion fast recovery and beautiful orthopedic appearance, The short term effect is satisfied and the long term effect should be further investigated.