临床小儿外科杂志2017，Vol.16Issue(5)：506-509,4.DOI:10.3969/j.issn.1671-6353.2017.05.021
单切口胸腔镜辅助Nuss手术治疗26例儿童漏斗胸的疗效分析
Modified single-incision thoracoscopic Nuss procedure for pectus excavatum: a report of 26 cases
摘要
Abstract
Objective Objective To explore the clinical efficacy of modified single-incision thoracoscopic Nuss procedure for pediatric pectus excavatum. Methods A retrospective review was performed for the clinical data of 26 cases of pectus excavatum from July 2012 to July 2016. There were 22 boys and 4 girls with an average age of 5. 5 (3-12) years. All of them underwent modified single-incision thoracoscopic Nuss procedure. Haller index was >3. 25. Results All procedures were successfully completed. Operative duration was (65. 3 ± 14. 2) min, intraoperative blood loss (2. 5 ± 1. 3) ml and hospitalization stay (5. 8 ± 1. 2) days. There was no instance of intraoperative cardiac perforation or macrovascular injury. There were 2 cases of right minimal pneumothorax. No pleural effusion or infection was reported. The follow-up period was 6 to 36 months. According to the Croitoru's evaluation standard, the scores were excellent. In 16 children, steel plates were removed after 2 years. There was no onset of plate displacement or recurrence. Conclusion Modified single-incision thoracoscopic Nuss procedure with is both safe and effective for pediatric pectus excavatum. With the advantages of shorter operative duration, mini-invasiveness, fewer complications and excellent cosmetics, it is worthy of wider popularization.关键词
胸腔镜检查/漏斗胸/Nuss手术/治疗/儿童Key words
Thoracoscopy/Funnel Chest/Nuss Procedure/Therapy/Child引用本文复制引用
钟斌,刘辉,吴金华,刘传荣,吴书清,黄秀明,李伟俊,徐建兵..单切口胸腔镜辅助Nuss手术治疗26例儿童漏斗胸的疗效分析[J].临床小儿外科杂志,2017,16(5):506-509,4.基金项目
江西省赣州市卫计委2015年计划课题(编号:20150109) （编号:20150109）
