漏斗胸外科治疗进展

Progress in surgical treatment of pectus excavatum

漏斗胸的外科治疗有100多年历史,经历了从传统开放手术到目前流行的微创术式。Nuss手术作为最经典微创术式,自问世以来就进行不断改良,以达到更少的并发症和更佳的效果,但仍有难以突破的局限性,吸引大量学者进行持续创新,研究出更新的装置和手术方式。本文就漏斗胸外科治疗历史沿革、Nuss手术应用与改良、双向加压和完全固定矫形板系统和Wang手术等新兴技术理念等进行综述。

The surgical treatment of pectus excavatum has a history of more than 100 years, which has gone through from traditional open surgery to the current popular minimally invasive surgery. Nuss procedure, as the most classic minimally invasive operation, has been improved in accordance with the clinical needs since its inception to achieve fewer complications and better results, but there are still limitations that are difficult to break through, attracting a large number of scholars to make continuous innovation and develop updated devices and operation methods. This article reviews the history of funnel chest surgery, application and improvement of Nuss operation, double compression and complete fixation bar system and Wang procedure.