胸腔镜下微创漏斗胸矫形术（Nuss手术）治疗先天性漏斗胸

发布时间：2018-06-30 18:39

本文选题：漏斗胸 + 胸腔镜　；参考：《福建医科大学》2013年硕士论文

【摘要】：目的：探讨胸腔镜辅助下Nuss手术治疗先天性漏斗胸的疗效和安全性。方法：2005年7月至2013年4月，对131例年龄3-21岁（平均13.6岁）先天性漏斗胸（对称型73例，非对称型58例）患者实施胸腔镜辅助下Nuss手术治疗。结果：131例患者均顺利完成手术，无死亡、大出血及胸腔脏器损伤等危险并发症发生。术中出血量3-22ml，平均8.5ml；手术时间40-89min，平均53min；术后住院天数4-9d，平均6.5d。术后并发症包括8例气胸、3例胸腔积液、2例皮下气肿、2例钢板移位、1例钢板过敏反应。本组中所有患者计划于术后2年拆除钢板，目前已有88例患者按计划于术后2年顺利拆除钢板，其中74例恢复至正常胸部解剖，12例存在轻微的胸部凹陷，2例手术效果一般，优良率为97.7％。结论：胸腔镜辅助下Nuss手术治疗先天性漏斗胸具有创伤小、出血少、不切骨、恢复快、效果满意，方法安全可靠等优点，可广泛应用于漏斗胸的治疗。
[Abstract]:Objective: to evaluate the efficacy and safety of thoracoscopic Nuss operation in the treatment of congenital funnel chest. Methods: from July 2005 to April 2013, 131 patients aged 3-21 years (mean 13.6 years) with congenital funnel chest (73 symmetric and 58 asymmetric) underwent thoracoscopic Nuss surgery. Results all the 131 cases were successfully operated without death, massive hemorrhage, thoracic organ injury and other dangerous complications. The intraoperative bleeding volume was 3-22 ml (mean 8.5 ml), the operative time was 40-89 min (mean 53 min), and the postoperative hospital stay was 4-9 d (mean 6.5 d). Postoperative complications included 8 cases of pneumothorax, 3 cases of pleural effusion, 2 cases of subcutaneous emphysema, 2 cases of plate transposition and 1 case of plate hypersensitivity. All the patients planned to remove the plate 2 years after operation. At present, 88 cases have successfully removed the plate 2 years after the operation, of which 74 cases returned to normal thoracic anatomy in 12 cases, and 2 cases had mild chest depression. The excellent and good rate is 97. 7%. Conclusion: the treatment of congenital funnel chest with thoracoscopic assisted Nuss operation has the advantages of less trauma, less bleeding, no osteotomy, rapid recovery, satisfactory effect, safe and reliable, and can be widely used in the treatment of funnel chest.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R655.1

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