鸡胸微创外科治疗59例报告

发布时间：2018-03-08 08:41

本文选题：鸡胸　切入点：微创胸骨沉降术　出处：《中国微创外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨微创胸骨沉降术治疗鸡胸的可行性。方法 2009年8月~2016年9月我院应用微创胸骨沉降术治疗鸡胸59例,其中单纯胸骨体前凸型鸡胸38例行微创胸骨沉降术,选取两侧腋中线做切口,经前胸壁最高点皮下置入矫形钢板,将突起的胸骨下压至胸廓平坦理想高度;21例复杂型鸡胸采取个体化手术方案:微创胸骨沉降术+Nuss手术矫正19例,胸骨横行截骨+微创Nuss术1例,微创胸骨沉降术+神经纤维瘤切除术1例。结果 59例均顺利完成手术,无围手术期并发症。38例微创胸骨沉降术手术时间(125±20)min,出血量(12.5±2.4)ml;19例微创胸骨沉降术+Nuss手术矫正手术时间(192±47)min,出血量(19.3±4.1)ml;1例胸骨横行截骨+微创Nuss术手术时间170 min,出血量20 ml;1例微创胸骨沉降术+神经纤维瘤切除术手术时间150 min,出血量35 ml。术后按照钢板置入术后1、4、12、24个月进行随访,28例取出钢板的时间为(22.9±5.9)月,随访至取出钢板术后1年,矫形效果满意。结论微创胸骨沉降术治疗鸡胸安全可行。对于复杂型鸡胸需采取改良的个体化手术方式,以达到满意的效果。
[Abstract]:Objective to explore the feasibility of minimally invasive sternotomy in the treatment of chicken thorax. Methods from August 2009 to September 2016, 59 cases of chicken chest were treated by minimally invasive sternal sedimentation, 38 cases of which were treated with minimally invasive sternum sedimentation. Bilateral axillary midline was selected as incision and orthopedic plate was placed subcutaneously through the highest point of the anterior chest wall. 21 cases of complex chicken chest were selected as individualized operation plan: minimally invasive sternum reduction Nuss operation was performed in 19 cases, and the protruding sternum was pressed down to the ideal height of chest level. One case underwent minimally invasive Nuss and one case underwent neurofibroma resection with minimally invasive sternal sedimentation. No perioperative complications. The operative time of minimally invasive sternal sedimentation in 38 cases was 125 卤20 minutes, the amount of bleeding was 12.5 卤2.4 ml / min, the operative time of Nuss correction was 192 卤47 min, the bleeding volume was 19.3 卤4.1 ml / min, and the operative time of minimally invasive sternotomy Nuss was 170 min, the volume of bleeding was 170min. The operative time of neurofibroma resection was 150 min and the blood loss was 35 ml in 1 case of minimally invasive sternal debridement. The time of removing the plate was 22. 9 卤5. 9 months after 24 months follow-up. Conclusion minimally invasive sternotomy is safe and feasible for the treatment of chicken breast. The modified individualized operation should be adopted for complex chicken breast in order to achieve satisfactory results.
【作者单位】：安徽省儿童医院胸外科;
【分类号】：R687.3

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