胸腔镜辅助NUSS手术治疗漏斗胸12例临床分析

Nuss Procedure with Thoracoscopy-Assisted for the Correction of Pectus Excavatum in 12 Cases

目的：总结12例胸腔镜辅助微创NUSS手术治疗漏斗胸的临床治疗经验。方法：回顾性分析12例漏斗胸患者的临床资料。患者年龄6-18岁,平均11.6岁,其中男性8例,女性4例。结果：12例手术患者均顺利完成手术出院,手术时间35-100min,有3例出现术后气胸,无术中心脏损伤、术后肺部感染、肺不张、钢板感染等严重并发症发生。患者术后胸廓外形明显改善,疗效满意。结论：与传统手术相比,NUSS手术具备微创、美观、手术耗时短、并发症少等优势,术后近期矫形效果满意,远期效果仍需进一步探讨。

Objective： To review the clinical management of NUSS procedure by thoracoscopy for the correction of pectus excavatum in 12 patients. Methods：The data of twelve patients（8 male and 4 female ,the age range from 6 to 18 years old, average 11.6 years）with severe pectus excavatum underwent NUSS procedure by thoracoscopy were studied. Results：The operation was successfully completed,the operation time ranged from 35-100 minutes.there were 3 cases of pneumothorax occured after operation ,without serious complications occurred,including cardiac trauma .pulmonary infection..lectasis and plate infection etc. Conclusion：Compared with the traditional surgery,NUSS procedure was microinvasive and had beautiful outlook with shorter operation time and less complications, the recent effect was satisfactory,the further effect needed to be discussed.