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目的:探讨Nuss手术治疗漏斗胸的临床效果。方法:2008年4月～2010年10月采用胸腔镜辅助下微创Nuss矫治术治疗漏斗胸35例,男29例,女6例,平均年龄(12.23±5.7)岁,其中15～24岁15例。结果:35例均顺利完成手术,畸形均达到满意矫正。手术时间60～120 min,出血量3～15 ml,手术后住院时间5～9 d。无心包心脏损伤发生。1例切口感染钢板外露,经换药痊愈;1例切口医用胶粘合切口裂开重新缝合愈合;1例术后7个月出现钢板反应,换药至今未愈;3例术后出现气胸(2例少量未处理痊愈,1例抽气痊愈);1例双钢板植入患者1个月后复查,下钢板轻度移位。全组均获长期随访。结论:Nuss手术矫治小儿先天性漏斗胸安全有效,具有损伤小,恢复快及改善外观的优点。
Objective: To investigate the clinical effect of Nuss operation on funnel chest. Methods: From April 2008 to October 2010, 35 cases of funnel chest were treated with minimally invasive Nuss thoracoscopic assisted surgery. There were 29 males and 6 females, with an average age of (12.23 ± 5.7) years and 15 to 24 years of age 15 example. Results: All the 35 cases were successfully completed surgery, deformity were satisfactory correction. The operation time was 60 to 120 minutes, the amount of bleeding was 3 to 15 ml, and the postoperative hospital stay was 5 to 9 days. No heart package heart damage occurs. 1 case of incisional infection of exposed steel plate, the dressing recovery; 1 incision medical adhesive incision reoperation suture healing; 1 case 7 months after the plate reaction, dressing has not healed; 3 cases of pneumothorax 2 cases recovered with a small amount of untreated, 1 case recovered with suction); 1 case of double-plate implants were reviewed after 1 month, and the plate was slightly displaced. All groups were long-term follow-up. Conclusion: Nuss operation is safe and effective in the treatment of children with congenital funnel pectus, which has the advantages of less damage, faster recovery and better appearance.