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目的探讨非胸腔镜辅助微创Nuss手术治疗漏斗胸的手术方法、效果和相关临床经验。方法收集2010年6月至2012年12月收治的漏斗胸患儿87例,采用非胸腔镜辅助Nuss手术治疗,分析手术时间、术中出血量、术后住院时间、术后并发症及术后疗效评价。结果全组患儿均顺利完成手术,术中未发生并发症。手术时间25~50 min,术中出血量5~8 ml,均未放置胸腔闭式引流,全组病例恢复顺利,术后5~7 d出院。71例获随访6个月~2年,无钢板移位、钢板翻转、胸腔积液及气胸等并发症;患儿活动量增加,胸部外观满意。其中23例已顺利取出钢板,无复发。结论非胸腔镜辅助Nuss手术方法安全有效,更具微创意义和效果。
Objective To investigate the methods, effects and clinical experience of non-thoracoscopic assisted minimally invasive Nuss surgery in the treatment of funnel chest. Methods 87 patients with funnel chest admitted from June 2010 to December 2012 were enrolled in this study. Non-thoracoscopic assisted Nuss operation was performed. The operative time, intraoperative blood loss, postoperative hospital stay, postoperative complications and postoperative complications were analyzed. Efficacy evaluation. Results All patients were successfully completed surgery, surgery did not occur complications. The operation time was 25-50 min and intraoperative blood loss was 5-8 ml. No closed thoracic drainage was performed. All the patients recovered smoothly and were discharged from 5 to 7 days after operation. 71 patients were followed up for 6 months to 2 years, no complications such as plate displacement, pleural effusion, pneumothorax and other complications; children with increased activity, chest appearance satisfaction. 23 cases of which have been successfully removed plate, no recurrence. Conclusion The non-thoracoscopic assisted Nuss operation is safe and effective, with minimal invasiveness and effect.