非胸腔镜辅助Nuss手术治疗漏斗胸123例_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

韩冰 , 张清峰 , 寇瑛琍

四川大学华西医院胸外科，成都 610041;

Corresponding author：

Keywords：

漏斗胸; Nuss手术; 并发症

DOI：

10.7507/1007-4848.20140034

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的总结Nuss手术治疗漏斗胸及减少术中、术后并发症发生的临床经验。方法回顾性分析2010年6月至2013年3月四川大学华西医院123例漏斗胸行Nuss手术治疗的临床资料，男101例，女22例；年龄3～32（15.0±5.1）岁；身高80～183（155.5±25.0）cm；体重15～71（44.4±13.3）kg。其中2例为Ravitch术后复发患者，其余患者均为初次手术。术前胸部CT示：Haller指数为4.1±1.4。结果所有患者均顺利完成手术，手术时间35～155（74.3±25.4）min，术后住院时间3～16（4.2±1.6）d。其中26例患者需植入2根矫形板，其余患者均只需植入1根矫形板。CT示：术后Haller指数为2.6±0.6，与术前比较差异有统计学意义（P<0.05）。术后共发生并发症15例，发生率12.2%。其中气胸4例次，切口感染5例次，1例患者考虑为机体对矫形板材质过敏，伤口长期渗血、渗液，最终患者选择提前取出矫形板；2例患者有轻度脊柱侧弯，7例患者术后1～3个月内发生矫形板移位，需再次手术，重新放置矫形板。结论 Nuss手术安全、可靠，具有矫形效果佳、损伤小、恢复快等优点。

Citation： 韩冰, 张清峰, 寇瑛琍. 非胸腔镜辅助Nuss手术治疗漏斗胸123例. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(1): 125-127. doi: 10.7507/1007-4848.20140034 Copy

1.	Fonkalsrud EW, Dunn JCY, Atkinson JB.Repair of pectus excavatum deformities:30 years experience with 375 patients.Ann Surg, 2000, 231 (3):443-448.
2.	Fonkalsrud EW.Current management of pectus excavatum.World J Surg, 2003, 27 (5):502-508.
3.	Morshuis W, Folgering H, Barentsz J, et al.Pulmonary function before surgery for pectus excavatum and at long-term follow-up.Chest, 1994, 105 (6):1646-1652.
4.	Haller JA, Kramer SS, Lietman SA.Use of CT scans in selection of patients for pectus excavatum surgery:a preliminary report.J Pediatr Surg, 1987, 22 (10):904-906.
5.	曾骐, 彭芸, 贺延儒, 等.Nuss手术治疗小儿漏斗胸(附60例报告).中华胸心血管外科杂, 2004, 20 (4):223-225.
6.	Nuss D, Kelly RE, Croitoru DP, et al.A 10-year review of a minimally invasive technique for the correction of pectus excavatum.J Pediatr Surg, 1998, 33 (4):545-552.
7.	Haecker FM, Bielek J, von Schweinitz D.Minimally invasive repair of pectus excavatum (MIRPE)-the Basel experience.Swiss Surg, 2003, 9 (6):289-295.
8.	Martinez Ferro M, Fraire C, Rubio M, et al.Minimally invasive approach of Nuss for the correction of pectus excavatum.Cir Pediatr, 2005, 18 (2):65-69.
9.	Croitoru DP, Kelly RE, Goretsky MJ, et al.Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients.J Pediatr Surg, 2002, 37 (3):437-445.
10.	Shin S, Goretsky MJ, Kelly RE Jr, et al.Infectius complication after the Nuss repair in a series of 863 patients.J Pediatr Surg, 2007, 42 (1):87-92.
11.	吉毅, 刘文英, 徐冰, 等.非胸腔镜辅助微创Nuss手术矫治复发性漏斗胸.中国修复重建外科杂志, 2008, 22 (10):1213-1217.

1. Fonkalsrud EW, Dunn JCY, Atkinson JB.Repair of pectus excavatum deformities:30 years experience with 375 patients.Ann Surg, 2000, 231 (3):443-448.
2. Fonkalsrud EW.Current management of pectus excavatum.World J Surg, 2003, 27 (5):502-508.
3. Morshuis W, Folgering H, Barentsz J, et al.Pulmonary function before surgery for pectus excavatum and at long-term follow-up.Chest, 1994, 105 (6):1646-1652.
4. Haller JA, Kramer SS, Lietman SA.Use of CT scans in selection of patients for pectus excavatum surgery:a preliminary report.J Pediatr Surg, 1987, 22 (10):904-906.
5. 曾骐, 彭芸, 贺延儒, 等.Nuss手术治疗小儿漏斗胸(附60例报告).中华胸心血管外科杂, 2004, 20 (4):223-225.
6. Nuss D, Kelly RE, Croitoru DP, et al.A 10-year review of a minimally invasive technique for the correction of pectus excavatum.J Pediatr Surg, 1998, 33 (4):545-552.
7. Haecker FM, Bielek J, von Schweinitz D.Minimally invasive repair of pectus excavatum (MIRPE)-the Basel experience.Swiss Surg, 2003, 9 (6):289-295.
8. Martinez Ferro M, Fraire C, Rubio M, et al.Minimally invasive approach of Nuss for the correction of pectus excavatum.Cir Pediatr, 2005, 18 (2):65-69.
9. Croitoru DP, Kelly RE, Goretsky MJ, et al.Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients.J Pediatr Surg, 2002, 37 (3):437-445.
10. Shin S, Goretsky MJ, Kelly RE Jr, et al.Infectius complication after the Nuss repair in a series of 863 patients.J Pediatr Surg, 2007, 42 (1):87-92.
11. 吉毅, 刘文英, 徐冰, 等.非胸腔镜辅助微创Nuss手术矫治复发性漏斗胸.中国修复重建外科杂志, 2008, 22 (10):1213-1217.

Previous Article
冠状动脉旁路移植术后并发症及死亡原因分析
Next Article
Advances on Surgical Treatment of Anal Fissure

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

非胸腔镜辅助Nuss手术治疗漏斗胸123例

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content