胸腔镜下Nuss手术治疗漏斗胸(附35例报告)

Nuss surgery with video-assisted thoracoscopic for pectus excavatum (a report of 35 cases)

目的探讨胸腔镜下Nuss手术治疗漏斗胸的疗效。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隧道,放置支撑板将凹陷胸骨抬起,支撑板两端安装固定器。35例均使用进口器械。结果 35例均在胸腔镜辅助下顺利完成手术,手术时间30～50min,平均35min。术中出血量5～28mL,平均15mL。30例放置1根钢板支撑,5例放置2根钢板支撑。术后恢复顺利,均未出现明显并发症。术后住院时间7～12d,平均8d。随访3～16个月,优30例,良5例。结论胸腔镜辅助下Nuss手术治疗漏斗胸方法安全可靠,疗效好,手术最佳时机3～12岁。

Objective To investigate the results of Nuss surgery with video-assisted thoracoscopic for pectus excavatum in patients.Methods Under surveillance by video-assisted thoracoscopic penetrans depression in the lowest level of the sternum,the center line between the two axillary in foreign substernal pleural perforation of a tunnel,the support plate was placed to lift sternal depression,installed at both ends of the support plate fixation.35 cases were imported of equipment.Results Operations were successful in 35 cases of video-assisted thoracoscopic,the operative time was 30？？50minutes,the mean time was 35minutes.The amount of bleeding was 5～28 mL,the mean amount was 15mL.30 cases of placing a steel plate to support,5 cases of placing two steel plate to support.All cases recovered well without significant complications,the hospital stay was 7？？12days,the mean time was 8 days.The patients were followed-up for 3？？16 months.Among these followed-up cases,30 cases were excellent,good in 5 cases.Conclusion The Nuss surgical treatment of pectus excavatum with video-assisted thoracoscopic is safe and effective,and the best time for surgery is 3？？12 years old.