国际医药卫生导报2011,Vol.17Issue(1):20-24,5.DOI:10.3760/cma.j.issn.1007-1245.2011.01.006
微创漏斗胸矫治术后早期心肺功能变化的研究
Early effects study on cardiopulmonary function of minimally invasive pectus excavatum repair (NUSS procedure)
林志潮 1伍硕允 1卢珠明 1叶敏 1庞文广 1黄文海 1庞景灼1
作者信息
- 1. 529030,江门市中心医院,中山大学附属江门医院
- 折叠
摘要
Abstract
Objective To investigate the early effects on cardiopulmonary function of minimally invasive pectus excavatum repair (NUSS procedure). Methods From December 2006 to July 2009, 23patients with pectus excavatum were treated with the Nuss procedure at Jiangmen Central Hospital. 13patients older than 9 years were received pulmonary function tests including vital capacity(VC), total lung capacity(TLC), forced ventilatory capacity(FVC), forced expiratory volume in the first second(FEV 1) and maximal expiratory flow in 50% vital capacity(MEF50) at prior to operation, 3 months and 1 year after the Nuss procedure. All the patients were received cardiac function including stroke volume(SV), cardiac output (CO) and cardiac index(CI) at prior to operation, 3 months and 1 year after operation. Results VC、FEV 1 and FVC decreased significantly at 3 months after operation and came back to the preoperative levels at 1 year after operation. MEF50 reduced lightly at 3 months after operation and increased at 1 year after operation compared with the preoperative value(P>0.05). Compared with the preoperative values, stroke volume (SV) and cardiac output (CO) increased significantly at 3 months and 1 year after operation. Cardiac index (CI) was improved significantly only at 3 months after operatiot. Conclusion Pulmonary function declined initially after Nuss procedure, and improved gradually to preoperative value during follow-up.Cardiac function was improved significantly compared to preoperative value after Nuss procedure.关键词
漏斗胸/Nuss手术/心功能/肺功能Key words
Pectus excavatum/Nuss procedure/Cardiac function/Pulmonary function引用本文复制引用
林志潮,伍硕允,卢珠明,叶敏,庞文广,黄文海,庞景灼..微创漏斗胸矫治术后早期心肺功能变化的研究[J].国际医药卫生导报,2011,17(1):20-24,5.