中国现代医学杂志2017，Vol.27Issue(7)：95-98,4.DOI:10.3969/j.issn.1005-8982.2017.07.021
指触引导技术在Nuss手术中的应用
Application of a finger-guided technique in Nuss procedure
李雅玲 1陈群清 1贾龙飞 1吴源周 1闫玉生 1童健1
作者信息
- 1. 南方医科大学珠江医院 胸心外科,广东 广州 510282
- 折叠
摘要
Abstract
Objective To discuss how to avoid catastrophic complications with a newly-designed finger-guided technique in Nuss procedure, and to analyse the feasibility, convenience and security of this new technique. Methods Seventy-six patients with pectus excavatum (PE), who received Nuss operation from January 2012 to December 2015, were retrospectively analyzed. They were separated into finger-guided group (34 cases) and control group (42 cases). In the finger-guided group, a 20-mm skin incision was made at bilateral anterior-axillary lines and the subcutaneous tunnels were established into the thoracic cavity. The finger explored the thoracic cavity and retrosternal tissues, then touched the tip of pectus dissector in the contralateral thoracic cavity to confirm there were no important tissues such as heart, lung, diaphragm between the finger and the pliers tip. Then the pectus dissector was guided by the finger and passed through the retrosternal space. In this way, heart and lung injuries could be avoided without thoracoscopy. The perioperative condition, the incidences of major complications and postoperative satisfaction were compared between the two groups. Results The procedures were successfully completed in all the patients. The average operation time and postoperative hospital stay time in the finger-guided group were significantly shorter than those in the control group [(39.10 ± 10.01) vs (70.15 ± 12.87) min, = 0.028; (2.81 ± 0.71) vs (4.01 ± 0.81) d, = 0.048]. The total incidence of major complications in the finger-guided group was significantly lower than that in the control group (8.82% vs 26.19%). There was no significant difference in postoperative satisfaction between the two groups ( p> 0.05). Conclusions The newly-designed technique can avoid the heart and lung injuries in Nuss procedure. This technique is simple and practicable, and worth to be widely adopted.关键词
Nuss手术/漏斗胸/并发症Key words
Nuss procedure/pectus excavatum/complication分类
医药卫生引用本文复制引用
李雅玲,陈群清,贾龙飞,吴源周,闫玉生,童健..指触引导技术在Nuss手术中的应用[J].中国现代医学杂志,2017,27(7):95-98,4.
