摘要
目的探讨微创胸骨沉降术治疗鸡胸的方法、技术要点及初步结果。方法应用微创胸骨沉降术治疗鸡胸患者5例,经胸骨前皮下隧道放置Nuss矫形钢板,将胸骨下压,钢板两端通过固定片分别固定于肋骨。结果手术均顺利完成,无围手术期并发症,手术时间(102.6±23.8)min,失血(14.0±9.7)ml,术后住院时间(6.6±1.6)d。随访4—12个月无钢板脱出或移位,全部患者家属对矫治结果满意。结论微创胸骨沉降术治疗鸡胸是一种简单易行,安全有效的手术方式,值得进一步探索。
Objective To discuss the method, technical main points and initial efficacy of minimally invasive correction of pectus carinatum. Methods Five patients underwent minimal invasive operation for pectus carinatum. The pectus carinatum was corrected by a curved Nuss steel bar applying pressure to the anterior chest. The steel bar was placed subcutaneously anterior to the protruding sternum and locked to the ribs through two plates. Results Five patients received operations successfully without complications. Operation time was ( 102.6 ± 23.8) rain, blood loss was( 14.0 ±9.7 ) ml, postoperative hospital stay was (6.6 + 1.6) d. Postoperative follow-up was 4-12 months, no steel bar movement was found. Conclusion The minimally invasive correction of pectus carinatum seems to be a simple,safe and effective technique with minimal complications.
出处
《中国医师进修杂志》
2011年第26期14-16,共3页
Chinese Journal of Postgraduates of Medicine
关键词
外科手术
微创性
鸡胸
畸形矫正
Surgical procedures, minimally invasive
Pectus carinatum
Malformation correction